Organization Active NPI

At Home Healthcare

  • Home Health Agency
  • Kent, OH
National Provider Identifier
1487042602
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
2260002 Issued in OH
Legal business name
AT HOME HEALTHCARE
Practice address
1597 S Water St
Kent, OH 44240-4441
Phone
(330) 899-3135
Fax
(330) 791-1133
NPI assigned
Dec 23, 2014
Last updated
Apr 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Authorized official

Name
Timothy J Surgen
Title
President
Phone
(330) 899-3135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 2260002 OH Primary

Addresses

Primary practice location

1597 S Water St
Kent, OH 44240-4441

Mailing address

1597 S Water St
Kent, OH 44240-4441
Phone (330) 899-3135

National Provider Directory

National Provider Directory
Tax ID family
At Home Healthcare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1597 S Water St
Kent, OH 44240
Phone (330) 899-3135

NPI Registry JSON

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

{
    "created_epoch": "1419292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618358400000",
    "number": "1487042602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1597 S WATER ST",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442404441",
            "telephone_number": "330-899-3135",
            "fax_number": "330-791-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1597 S WATER ST",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442404441",
            "telephone_number": "330-899-3135",
            "fax_number": "330-791-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-23",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A",
        "authorized_official_last_name": "SURGEN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-899-3135"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "2260002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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.