Individual provider Active NPI

Steven Paul Skory

  • Home Health Aide
  • North Royalton, OH
National Provider Identifier
1417451485
Registry record updated Mar 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
0249610 Issued in OH
Practice address
9540 Cove Dr Unit D4
North Royalton, OH 44133-2780
Phone
(510) 290-6161
NPI assigned
Mar 22, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2018

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 0249610 OH Primary

Addresses

Primary practice location

9540 Cove Dr Unit D4
North Royalton, OH 44133-2780

Mailing address

9540 Cove Dr Unit D4
North Royalton, OH 44133-2780
Phone (510) 290-6161

Other identifiers 1

IdentifierTypeStateIssuer
0249610MedicaidOH

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
0249610OHMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521676800000",
    "number": "1417451485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9540 COVE DR UNIT D4",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441332780",
            "telephone_number": "510-290-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9540 COVE DR UNIT D4",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441332780",
            "telephone_number": "510-290-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKORY",
        "first_name": "STEVEN",
        "middle_name": "PAUL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-22",
        "last_updated": "2018-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "OH",
            "license": "0249610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0249610",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Royalton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; 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.