Organization Active NPI

Senior Bath on Wheels

  • Home Health Agency
  • Cleveland, OH
National Provider Identifier
1578282984
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SENIOR BATH ON WHEELS
Practice address
1701 E 12TH St # 18KW
Cleveland, OH 44114-3236
Phone
(216) 650-6943
NPI assigned
Aug 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Authorized official

Name
Ethel Moultry
Title
Owner
Phone
(216) 650-6943

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1701 E 12TH St # 18KW
Cleveland, OH 44114-3236

Mailing address

1701 E 12TH St # 18KW
Cleveland, OH 44114-3236
Phone (216) 650-6943

National Provider Directory

National Provider Directory

Locations

1701 E 12th St
#18
Cleveland, OH 44114
Phone (216) 650-6943

NPI Registry JSON

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

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666137600000",
    "number": "1578282984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 E 12TH ST # 18KW",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441143236",
            "telephone_number": "216-650-6943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E 12TH ST # 18KW",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441143236",
            "telephone_number": "216-650-6943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR BATH ON WHEELS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-26",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A",
        "authorized_official_last_name": "MOULTRY",
        "authorized_official_first_name": "ETHEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-650-6943"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.