Shaye Joeonna Elsaesser

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

54 Willowwood Dr
Chippewa Lake, OH 44215-9643

Phone

(315) 261-8105

NPI assigned

Dec 4, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1733270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1417763566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 WILLOWWOOD DR",
            "city": "CHIPPEWA LAKE",
            "state": "OH",
            "postal_code": "442159643",
            "telephone_number": "315-261-8105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 WILLOWWOOD DR",
            "city": "CHIPPEWA LAKE",
            "state": "OH",
            "postal_code": "442159643",
            "telephone_number": "315-261-8105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSAESSER",
        "first_name": "SHAYE",
        "middle_name": "JOEONNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-04",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "OH",
            "license": null,
            "primary": true
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Berger
• Lachae Marie Brown
• Taleah Brown
• Dennis J. Custer, D.D.S.
• Joseph Elsaesser
• Ryan Gratzer, REGISTERED NURSE
• Diamond Hannahs
• Villie A Hayes
• Hannah J Hornung
• Karen Keller

• All providers in Chippewa Lake, OH
• In Home Supportive Care Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.