Organization Active NPI

Greater Strides

  • Home Health Agency
  • Painesville, OH
National Provider Identifier
1497812333
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GREATER STRIDES
Practice address
112 Hampshire CV
Painesville, OH 44077-1380
Phone
(440) 350-9597
Fax
(440) 350-9597
NPI assigned
Jan 2, 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
Mrs. Jennifer Lynn Underwood-Sullivan
Title
Ceo
Phone
(440) 350-9597

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

112 Hampshire CV
Painesville, OH 44077-1380

Mailing address

112 Hampshire CV
Painesville, OH 44077-1380
Phone (440) 350-9597

Other identifiers 2

IdentifierTypeStateIssuer
4301375OtherOHODMRDD CONTRACT NUMBER
2706423MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497812333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 HAMPSHIRE CV",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440771380",
            "telephone_number": "440-350-9597",
            "fax_number": "440-350-9597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 HAMPSHIRE CV",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440771380",
            "telephone_number": "440-350-9597",
            "fax_number": "440-350-9597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER STRIDES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "UNDERWOOD-SULLIVAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "440-350-9597",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ODMRDD CONTRACT NUMBER",
            "identifier": "4301375",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2706423",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Painesville, 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.