Individual provider Active NPI

Joseph L Henderson Sr.

  • Home Health Agency
  • Bedford, OH
National Provider Identifier
1427617455
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Jun 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000000OtherOHI DO NOT HAVE THIS INFORMATION

Electronic endpoints 1

TypeEndpointUseAffiliation
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

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.