Ohio Job and Family Services

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

2605461 Issued in OH

Legal business name

OHIO JOB AND FAMILY SERVICES

Doing business as

Independent Provider

Practice address

552 Glenmonte Dr
Howard, OH 43028-9379

Phone

(740) 504-0669

Fax

(740) 397-9492

NPI assigned

Nov 21, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Tracey Lynn Beltz

Title

Home Health Aide

Phone

(740) 504-0669

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Independent Provider Doing business as

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578638938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 GLENMONTE DR",
            "city": "HOWARD",
            "state": "OH",
            "postal_code": "430289379",
            "telephone_number": "740-504-0669",
            "fax_number": "740-397-9492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 GLENMONTE DR",
            "city": "HOWARD",
            "state": "OH",
            "postal_code": "430289379",
            "telephone_number": "740-504-0669",
            "fax_number": "740-397-9492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO JOB AND FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BELTZ",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "HOME HEALTH AIDE",
        "authorized_official_telephone_number": "740-504-0669",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "OH",
            "license": "2605461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2605461",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Independent Provider",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Exclusive Provider Organization in Howard, OH
• Providers in Howard, OH by specialty
• Exclusive Provider Organization in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.