Individual provider Active NPI

Deneen Marie Viola Brant

  • Home Health Aide
  • Ravenna, OH
National Provider Identifier
1497379309
Registry record updated Jun 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
RW248909 Issued in OH
Practice address
708 E Main St
Ravenna, OH 44266-3308
Phone
(330) 983-3818
NPI assigned
Jun 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X RW248909 OH Primary

Addresses

Primary practice location

708 E Main St
Ravenna, OH 44266-3308

Mailing address

231 Comanche PL
Kent, OH 44240-4429
Phone (440) 731-9098

Other identifiers 1

IdentifierTypeStateIssuer
0358944MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL dbrant82@icloud.com Other

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

LicenseStateTypeSpecialty
RW248909OHMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591315200000",
    "number": "1497379309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 COMANCHE PL",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442404429",
            "telephone_number": "440-731-9098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 E MAIN ST",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442663308",
            "telephone_number": "330-983-3818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANT",
        "first_name": "DENEEN MARIE",
        "middle_name": "VIOLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-05",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "OH",
            "license": "RW248909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0358944",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "dbrant82@icloud.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "(440)731-9098",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "(440)731-9098",
            "address_1": "231 Comanche Pl",
            "city": "Kent",
            "state": "OH",
            "country_code": "US",
            "postal_code": "442404429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ravenna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.