Individual provider Active NPI

Joshua Fromhart, SERVICE COORDINATOR

  • Case Manager/Care Coordinator
  • Benwood, WV
National Provider Identifier
1407455272
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
748 McMechen St
Benwood, WV 26031-1100
Phone
(304) 233-3474
Fax
(304) 233-2664
NPI assigned
Oct 22, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

748 McMechen St
Benwood, WV 26031-1100

Mailing address

748 McMechen St
Benwood, WV 26031-1100
Phone (304) 233-3474

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JOSHUA.FROMHART@THEMENTORNETWORK.COM Direct

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

NPI Registry JSON

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1407455272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 MCMECHEN ST",
            "city": "BENWOOD",
            "state": "WV",
            "postal_code": "260311100",
            "telephone_number": "304-233-3474",
            "fax_number": "304-233-2664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 MCMECHEN ST",
            "city": "BENWOOD",
            "state": "WV",
            "postal_code": "260311100",
            "telephone_number": "304-233-3474",
            "fax_number": "304-233-2664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROMHART",
        "first_name": "JOSHUA",
        "credential": "SERVICE COORDINATOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-22",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JOSHUA.FROMHART@THEMENTORNETWORK.COM",
            "affiliation": "N",
            "endpointDescription": "EMAIL ADDRESS",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "748 McMechen St",
            "city": "Benwood",
            "state": "WV",
            "country_code": "US",
            "postal_code": "260311100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Benwood, WV

Sources for this page

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