Active NPI
Joseph L Henderson Sr.
- Home Health Agency
- Bedford, OH
National Provider Identifier
1427617455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Practice address
- 836 Broadway Ave Lowr Level
Bedford, OH 44146-3676 - Phone
- (440) 359-2563
- Fax
- (440) 658-7875
- NPI assigned
- Jun 12, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
836 Broadway Ave Lowr Level
Bedford, OH 44146-3676
Mailing address
836 Broadway Ave Lowr Level
Bedford, OH 44146-3676
Phone (440) 359-2563
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000000 | Other | OH | I DO NOT HAVE THIS INFORMATION |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | humanityhomehealthcare@gmail.com | Health Information Exchange (HIE) |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Humanity Home Healthcare | Home Health | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Cleveland, OH
- NPI 1346107026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560297600000",
"number": "1427617455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "836 BROADWAY AVE LOWR LEVEL",
"city": "BEDFORD",
"state": "OH",
"postal_code": "441463676",
"telephone_number": "440-359-2563",
"fax_number": "440-658-7875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "836 BROADWAY AVE LOWR LEVEL",
"city": "BEDFORD",
"state": "OH",
"postal_code": "441463676",
"telephone_number": "440-359-2563",
"fax_number": "440-658-7875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "JOSEPH",
"middle_name": "L",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-12",
"last_updated": "2019-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "I DO NOT HAVE THIS INFORMATION",
"identifier": "000000000",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "humanityhomehealthcare@gmail.com",
"affiliation": "N",
"endpointDescription": "secure email only access by myself",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "836 Broadway Ave Lowr Level",
"city": "Bedford",
"state": "OH",
"country_code": "US",
"postal_code": "441463676",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bedford, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.