Individual provider Active NPI

Jarrod Dumford

  • Home Health Aide
  • Fayetteville, OH
National Provider Identifier
1558770396
Registry record updated Aug 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
SY197034 Issued in NU
Practice address
18251 Gauche Rd
Fayetteville, OH 45118
Phone
(513) 290-8426
NPI assigned
Aug 6, 2014
Last updated
Aug 6, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2014

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 SY197034 NU Primary

Addresses

Primary practice location

18251 Gauche Rd
Fayetteville, OH 45118

Mailing address

PO Box 316
Owensville, OH 45160
Phone (513) 290-8426

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

NPI Registry JSON

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407283200000",
    "number": "1558770396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 316",
            "city": "OWENSVILLE",
            "state": "OH",
            "postal_code": "45160",
            "telephone_number": "513-290-8426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18251 GAUCHE RD",
            "city": "FAYETTEVILLE",
            "state": "OH",
            "postal_code": "45118",
            "telephone_number": "513-290-8426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMFORD",
        "first_name": "JARROD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-06",
        "last_updated": "2014-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": "SY197034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; 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.