Active NPI
Shelly Tiara Ryals
- Home Health Agency
- Akron, OH
National Provider Identifier
1447885033
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(2) exclusion effective Nov 20, 2023.
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Practice address
- 1142 Delos St
Akron, OH 44306-2425 - Phone
- (330) 801-9571
- NPI assigned
- Mar 4, 2020
- Last updated
- Mar 4, 2020
- Sex
- Female
- 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
1142 Delos St
Akron, OH 44306-2425
Mailing address
1142 Delos St
Akron, OH 44306-2425
Phone (330) 801-9571
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RQ347281 | Medicaid | OH | |
| RQ347281 | Other | OH | OHIO IDENTIFICATION CARD |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583280000000",
"number": "1447885033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1142 DELOS ST",
"city": "AKRON",
"state": "OH",
"postal_code": "443062425",
"telephone_number": "330-801-9571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1142 DELOS ST",
"city": "AKRON",
"state": "OH",
"postal_code": "443062425",
"telephone_number": "330-801-9571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYALS",
"first_name": "SHELLY",
"middle_name": "TIARA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-04",
"last_updated": "2020-03-04",
"certification_date": "2020-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RQ347281",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO IDENTIFICATION CARD",
"identifier": "RQ347281",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.