Melynda Morgan

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

401252400611 Issued in OH

Legal business name

MELYNDA MORGAN

Practice address

922 Burch Ave
Lima, OH 45801-3614

Phone

(567) 712-1412

NPI assigned

Jan 16, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Melynda Marie Morgan, STNA

Title

State Tested Nursing Assistant

Phone

(567) 712-1412

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1421366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421366400000",
    "number": "1497144208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 BURCH AVE",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458013614",
            "telephone_number": "567-712-1412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 BURCH AVE",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458013614",
            "telephone_number": "567-712-1412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELYNDA MORGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-16",
        "last_updated": "2015-01-16",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "MELYNDA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "STATE TESTED NURSING ASSISTANT",
        "authorized_official_telephone_number": "567-712-1412",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "STNA"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "OH",
            "license": "401252400611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; 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.