NPIMap

Organization Active NPI

Home Health Provider

  • Home Health Agency
  • West Lafayette, OH
National Provider Identifier
1407062664
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
2170225 Issued in OH
Legal business name
HOME HEALTH PROVIDER
Practice address
601 S Oak St
West Lafayette, OH 43845-1348
Phone
(740) 545-9760
Fax
(740) 545-9760
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Rose Albertson
Title
Home Health Provider
Phone
(740) 545-9760

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 2170225 OH Primary

Addresses

Primary practice location

601 S Oak St
West Lafayette, OH 43845-1348

Mailing address

601 S Oak St
West Lafayette, OH 43845-1348
Phone (740) 545-9760

Other identifiers 1

IdentifierTypeStateIssuer
2170225MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407062664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S OAK ST",
            "city": "WEST LAFAYETTE",
            "state": "OH",
            "postal_code": "438451348",
            "telephone_number": "740-545-9760",
            "fax_number": "740-545-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S OAK ST",
            "city": "WEST LAFAYETTE",
            "state": "OH",
            "postal_code": "438451348",
            "telephone_number": "740-545-9760",
            "fax_number": "740-545-9760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME HEALTH PROVIDER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALBERTSON",
        "authorized_official_first_name": "ROSE",
        "authorized_official_title_or_position": "HOME HEALTH PROVIDER",
        "authorized_official_telephone_number": "740-545-9760"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "2170225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2170225",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lafayette, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.