NPIMap

Organization Active NPI

Born to Stand Out

  • In Home Supportive Care Agency
  • Ravenna, OH
National Provider Identifier
1396386256
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
BORN TO STAND OUT
Practice address
2715 Sandy Lake Rd
Ravenna, OH 44266-8210
Phone
(330) 353-4991
NPI assigned
Oct 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Tamara Jarrett, RN, BSN, CEONPI 1184032773
Title
Ceo
Phone
(330) 353-4991

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2715 Sandy Lake Rd
Ravenna, OH 44266-8210

Mailing address

2715 Sandy Lake Rd
Ravenna, OH 44266-8210
Phone (330) 353-4991

Other identifiers 1

IdentifierTypeStateIssuer
0351262MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569974400000",
    "number": "1396386256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 SANDY LAKE RD",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442668210",
            "telephone_number": "330-353-4991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 SANDY LAKE RD",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442668210",
            "telephone_number": "330-353-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORN TO STAND OUT",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-02",
        "last_updated": "2019-10-02",
        "status": "A",
        "authorized_official_last_name": "JARRETT",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "330-353-4991",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, BSN, CEO"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0351262",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ravenna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.