Active NPI
R Michael Kacur
- Home Health Aide
- Avon, OH
National Provider Identifier
1467226951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- RR232372
- Practice address
- 2217 Garden Dr
Avon, OH 44011-2601 - Phone
- (440) 731-6301
- NPI assigned
- Nov 14, 2023
- 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 |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | RR232372 | OH | |
| Home Health Aide | 374U00000X | RR232372 | OH | Primary |
Addresses
Primary practice location
2217 Garden Dr
Avon, OH 44011-2601
Mailing address
2217 Garden Dr
Avon, OH 44011-2601
Phone (440) 731-6301
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 |
|---|---|---|---|
| RR232372 | OH | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699920000000",
"number": "1467226951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2217 GARDEN DR",
"city": "AVON",
"state": "OH",
"postal_code": "440112601",
"telephone_number": "440-731-6301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2217 GARDEN DR",
"city": "AVON",
"state": "OH",
"postal_code": "440112601",
"telephone_number": "440-731-6301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KACUR",
"first_name": "R MICHAEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-11-14",
"last_updated": "2023-11-14",
"certification_date": "2023-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "OH",
"license": "RR232372",
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "OH",
"license": "RR232372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Avon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.