Active NPI
Ralphael Blaine Tudor
- Home Health Agency
- Kent, OH
National Provider Identifier
1497425698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Practice address
- 1307 Chelton Dr
Kent, OH 44240-3264 - Phone
- (440) 999-0257
- NPI assigned
- Sep 17, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1307 Chelton Dr
Kent, OH 44240-3264
Mailing address
1307 Chelton Dr
Kent, OH 44240-3264
Phone (440) 999-0257
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6703026 | Other | OH | DODD |
| 3076648 | Medicaid | OH |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tudor Care | Home Health | Current | Accepting new patients |
Locations
469 S Walnut St
Ravenna, OH 44266
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Kent, OH
- NPI 1033889233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641859200000",
"number": "1497425698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1307 CHELTON DR",
"city": "KENT",
"state": "OH",
"postal_code": "442403264",
"telephone_number": "440-999-0257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1307 CHELTON DR",
"city": "KENT",
"state": "OH",
"postal_code": "442403264",
"telephone_number": "440-999-0257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUDOR",
"first_name": "RALPHAEL",
"middle_name": "BLAINE",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-09-17",
"last_updated": "2022-01-11",
"certification_date": "2022-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DODD",
"identifier": "6703026",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3076648",
"state": "OH"
}
],
"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 Jan 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.