Active NPI
Eddie Morris
- Homemaker
- Saint Marys, OH
National Provider Identifier
1437745999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- Practice address
- 422 W High St
Saint Marys, OH 45885-2105 - Phone
- (419) 305-8356
- NPI assigned
- Dec 17, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | 0600442 | OH | |
| Homemaker | 376J00000X | Primary |
Addresses
Primary practice location
422 W High St
Saint Marys, OH 45885-2105
Mailing address
422 W High St
Saint Marys, OH 45885-2105
Phone (419) 305-8356
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2974901 | Medicaid | OH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0600442 | OH | MD | Homemaker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608163200000",
"number": "1437745999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "422 W HIGH ST",
"city": "SAINT MARYS",
"state": "OH",
"postal_code": "458852105",
"telephone_number": "419-305-8356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "422 W HIGH ST",
"city": "SAINT MARYS",
"state": "OH",
"postal_code": "458852105",
"telephone_number": "419-305-8356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "EDDIE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-12-17",
"last_updated": "2020-12-17",
"certification_date": "2020-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "OH",
"license": "0600442",
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2974901",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Marys, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.