Organization Active NPI

Fah-Lee Longar

  • Home Health Agency
  • Ashtabula, OH
National Provider Identifier
1447659396
Registry record updated Aug 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FAH-LEE LONGAR
Practice address
5835 Dunbar Ave
Ashtabula, OH 44004-6434
Phone
(440) 789-9487
NPI assigned
Aug 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2014

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

Authorized official

Name
Fah-Lee Jewel Longar
Title
Personal Care Assistant
Phone
(440) 789-9487

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5835 Dunbar Ave
Ashtabula, OH 44004-6434

Mailing address

5835 Dunbar Ave
Ashtabula, OH 44004-6434
Phone (440) 789-9487

Other identifiers 1

IdentifierTypeStateIssuer
2705424MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1408147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408147200000",
    "number": "1447659396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5835 DUNBAR AVE",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440046434",
            "telephone_number": "440-789-9487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5835 DUNBAR AVE",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440046434",
            "telephone_number": "440-789-9487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAH-LEE LONGAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-16",
        "last_updated": "2014-08-16",
        "status": "A",
        "authorized_official_last_name": "LONGAR",
        "authorized_official_first_name": "FAH-LEE",
        "authorized_official_middle_name": "JEWEL",
        "authorized_official_title_or_position": "PERSONAL CARE ASSISTANT",
        "authorized_official_telephone_number": "440-789-9487"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2705424",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashtabula, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2014; 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.