Mikouis Home Delivery Healthcare, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MIKOUIS HOME DELIVERY HEALTHCARE, LLC

Practice address

840 N Market St
Lisbon, OH 44432-1022

Phone

(330) 420-9826

Fax

(330) 420-9821

NPI assigned

Nov 1, 2007

Last updated

Nov 1, 2007By 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. Jeannette Mikouis, RN, RD/LD, L.N.H.A.

Title

RN / Ceo

Phone

(330) 420-9826

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1578742979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 487",
            "address_2": "840 N MARKET ST",
            "city": "LISBON",
            "state": "OH",
            "postal_code": "444320487",
            "telephone_number": "330-420-9826",
            "fax_number": "330-420-9821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 N MARKET ST",
            "city": "LISBON",
            "state": "OH",
            "postal_code": "444321022",
            "telephone_number": "330-420-9826",
            "fax_number": "330-420-9821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKOUIS HOME DELIVERY HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-01",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "MIKOUIS",
        "authorized_official_first_name": "JEANNETTE",
        "authorized_official_title_or_position": "RN / CEO",
        "authorized_official_telephone_number": "330-420-9826",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, RD/LD, L.N.H.A."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly M McQuillan
• Melissa Mellon, COTA/L
• Richard Alan Mercer, RN
• Renee Meyer, LPC
• Mikouis Enterprises, Inc., Dba Sunrise Homes
• Miller Holdings Sunrise, Inc. (Sunrise Homes)
• Mary Ellen Miller, LPN
• Nicole Miller
• Carla Sue Moats
• Tracy L Moore Chestnut

• Home Health Agency in Lisbon, OH
• Providers in Lisbon, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.