Individual provider Active NPI

Veronica Palczer

  • Home Health Aide
  • Lorain, OH
National Provider Identifier
1407260060
Registry record updated Jun 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
2889254 Issued in OH
Practice address
4854 Oneil Blvd
Apt. D
Lorain, OH 44055-2935
Phone
(440) 233-4850
NPI assigned
Jun 11, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X 2889254 OH Primary

Addresses

Primary practice location

4854 Oneil Blvd
Apt. D
Lorain, OH 44055-2935

Mailing address

43304 Hastings Rd
Oberlin, OH 44074-9504
Phone (440) 458-0752

Other identifiers 1

IdentifierTypeStateIssuer
2889254MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2889254OHMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402444800000",
    "number": "1407260060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43304 HASTINGS RD",
            "city": "OBERLIN",
            "state": "OH",
            "postal_code": "440749504",
            "telephone_number": "440-458-0752",
            "fax_number": "440-707-4007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4854 ONEIL BLVD",
            "address_2": "APT. D",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440552935",
            "telephone_number": "440-233-4850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALCZER",
        "first_name": "VERONICA",
        "name_prefix": "Prof.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-11",
        "last_updated": "2014-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "OH",
            "license": "2889254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2889254",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorain, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; 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.