Active NPI
Charles M Gray
- Personal Care Attendant
- New Franklin, OH
National Provider Identifier
1467051250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Practice address
- 5863 Renninger Road
New Franklin, OH 44319 - Phone
- (330) 212-8757
- NPI assigned
- Oct 22, 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 |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | OH | ||
| Personal Care Attendant | 3747P1801X | OH | Primary |
Addresses
Primary practice location
5863 Renninger Road
New Franklin, OH 44319
Mailing address
5863 Renninger Rd
New Franklin, OH 44319
Phone (330) 212-8757
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7716529 | 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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603324800000",
"number": "1467051250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5863 RENNINGER RD",
"city": "NEW FRANKLIN",
"state": "OH",
"postal_code": "44319",
"telephone_number": "330-212-8757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5863 RENNINGER ROAD",
"city": "NEW FRANKLIN",
"state": "OH",
"postal_code": "44319",
"telephone_number": "330-212-8757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "CHARLES",
"middle_name": "M",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-22",
"last_updated": "2020-10-22",
"certification_date": "2020-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7716529",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Franklin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.