Individual provider Active NPI

Peter N Brumm

  • In Home Supportive Care Agency
  • Cincinnati, OH
National Provider Identifier
1558976019
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
3121026 Issued in OH
Practice address
3526 Spring View Dr
Cincinnati, OH 45208-4435
Phone
(513) 227-2640
NPI assigned
Sep 11, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X 3121026 OH
In Home Supportive Care Agency 253Z00000X 3121026 OH Primary

Addresses

Primary practice location

3526 Spring View Dr
Cincinnati, OH 45208-4435

Mailing address

3526 Spring View Dr
Cincinnati, OH 45208-4435
Phone (513) 227-2640

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

State licenses

LicenseStateTypeSpecialty
3121026OHMDPersonal Care Attendant

NPI Registry JSON

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

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1558976019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3526 SPRING VIEW DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452084435",
            "telephone_number": "513-227-2640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3526 SPRING VIEW DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452084435",
            "telephone_number": "513-227-2640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUMM",
        "first_name": "PETER",
        "middle_name": "N",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-11",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "OH",
            "license": "3121026",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "OH",
            "license": "3121026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.