Jude Asah

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

4519008 Issued in OH

Practice address

3930 Grandview CT
Toledo, OH 43614-3338

Phone

(419) 470-9860

NPI assigned

Aug 4, 2020

Last updated

Aug 20, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Health Care Revolution LLC

  • Home Health Agency
  • Toledo, OH
  • NPI 1902572506
  NPD Authorized official

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1427668581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 GRANDVIEW CT",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436143338",
            "telephone_number": "419-470-9860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 GRANDVIEW CT",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436143338",
            "telephone_number": "419-470-9860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3930 Grandview Ct",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436143338",
            "country_code": "US",
            "telephone_number": "419-470-9860",
            "fax_number": "330-946-3641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASAH",
        "first_name": "JUDE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-04",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OH",
            "license": "4519008",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "OH",
            "license": "4519008",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "169917",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "4519008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0423162",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.hcrevllc.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3930 Grandview Ct",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436143338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kimberly A Artis, MD
• Artisan Surgery Center
• Sri Krishna Chaitany Arudra, M.D.
• Aaron Anthony Arvanitis
• Edith Ncapsah Asah
• Chompunut Asava Aree, M.D.,
• Razan Salahi Asbahi, D.D.S., M.P.H
• Tammeya R Asberry
• Fahham Asghar, MD
• Tanzin Asha, MD

• Home Health Agency in Toledo, OH
• Providers in Toledo, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; 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.