Organization Active NPI

Marquetta K Bush

  • Home Health Agency
  • Toledo, OH
National Provider Identifier
1538614995
Registry record updated Aug 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
363110231289E Issued in OH
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, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
MARQUETTA BUSHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 16, 2016

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)CodeLicenseStatePrimary
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.

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.

Verify at the official NPI Registry.