Organization Active NPI

Tina Pribulsky, Inc.

Doing business as homewatch caregivers

  • Adult Care Home Facility
  • Grafton, OH
National Provider Identifier
1487778585
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
TINA PRIBULSKY, INC.
Doing business as
homewatch caregivers
Practice address
419 Main St
Unit D
Grafton, OH 44044-1253
Phone
(440) 926-9100
Fax
(440) 926-9103
NPI assigned
Mar 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lindsey Harrison
Title
Office Manager
Phone
(440) 926-9100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

419 Main St
Unit D
Grafton, OH 44044-1253

Mailing address

419 Main St
Unit D
Grafton, OH 44044-1253
Phone (440) 926-9100

Other names 1

  • homewatch caregivers Doing business as

National Provider Directory

National Provider Directory

Locations

419 N Main St
Ste D
Grafton, OH 44044
Phone (440) 926-9100

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487778585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 MAIN ST",
            "address_2": "UNIT D",
            "city": "GRAFTON",
            "state": "OH",
            "postal_code": "440441253",
            "telephone_number": "440-926-9100",
            "fax_number": "440-926-9103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 MAIN ST",
            "address_2": "UNIT D",
            "city": "GRAFTON",
            "state": "OH",
            "postal_code": "440441253",
            "telephone_number": "440-926-9100",
            "fax_number": "440-926-9103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINA PRIBULSKY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "440-926-9100"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "homewatch caregivers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grafton, OH

Sources for this page

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

Verify at the official NPI Registry.