Active NPI
Brenda Lee Mencer, HOME HEALTH AIDE
- Contractor
- West Lafayette, OH
National Provider Identifier
1417170663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Practice address
- 304 E Main St
West Lafayette, OH 43845-1218 - Phone
- (740) 545-0917
- NPI assigned
- Apr 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | Primary |
Addresses
Primary practice location
304 E Main St
West Lafayette, OH 43845-1218
Mailing address
304 E Main St
West Lafayette, OH 43845-1218
Phone (740) 545-0917
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2511697 | Other | OH | INDEPENDENT PROVIDER NUMB |
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": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417170663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 E MAIN ST",
"city": "WEST LAFAYETTE",
"state": "OH",
"postal_code": "438451218",
"telephone_number": "740-545-0917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 E MAIN ST",
"city": "WEST LAFAYETTE",
"state": "OH",
"postal_code": "438451218",
"telephone_number": "740-545-0917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENCER",
"first_name": "BRENDA",
"middle_name": "LEE",
"credential": "HOME HEALTH AIDE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT PROVIDER NUMB",
"identifier": "2511697",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.