Active NPI
Marquetta K Bush
- Home Health Agency
- Toledo, OH
National Provider Identifier
1538614995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 363110231289E
- Legal business name
- MARQUETTA K BUSH
- Practice address
- 2017 Bakewell St
Toledo, OH 43605-1203 - Phone
- (567) 225-8414
- Fax
- (419) 698-4909
- NPI assigned
- Aug 16, 2016
- Last updated
- Aug 16, 2016
- Organization subpart
- Yes
- Parent organization
- MARQUETTA BUSH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marquetta Bush
- Title
- Nursing Assistance
- Phone
- (567) 225-8414
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 363110231289E | OH | Primary |
Addresses
Primary practice location
2017 Bakewell St
Toledo, OH 43605-1203
Mailing address
2017 Bakewell St
Toledo, OH 43605-1203
Phone (567) 225-8414
National Provider Directory
National Provider Directory- Part of
- Marquetta K Bush
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nurse's Aide
- Toledo, OH
- NPI 1316494974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1471305600000",
"number": "1538614995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2017 BAKEWELL ST",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436051203",
"telephone_number": "567-225-8414",
"fax_number": "419-698-4909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2017 BAKEWELL ST",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436051203",
"telephone_number": "567-225-8414",
"fax_number": "419-698-4909"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARQUETTA K BUSH",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MARQUETTA BUSH",
"enumeration_date": "2016-08-16",
"last_updated": "2016-08-16",
"status": "A",
"authorized_official_last_name": "BUSH",
"authorized_official_first_name": "MARQUETTA",
"authorized_official_title_or_position": "NURSING ASSISTANCE",
"authorized_official_telephone_number": "567-225-8414"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "OH",
"license": "363110231289E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.