Organization Active NPI

Professional Healthcare Solutions

  • Home Health Agency
  • Northfield, OH
National Provider Identifier
1588089924
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PROFESSIONAL HEALTHCARE SOLUTIONS
Practice address
10333 Northfield Rd Unit 74D
Northfield, OH 44067-1471
Phone
(330) 990-0650
Fax
(330) 777-8520
NPI assigned
Feb 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Authorized official

Name
Kerrena Williams
Title
Executive Director
Phone
(330) 990-0650

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Nursing Care Agency 251J00000X

Addresses

Primary practice location

10333 Northfield Rd Unit 74D
Northfield, OH 44067-1471

Mailing address

466 Northfield Rd # LL
Bedford, OH 44146-2287
Phone (144) 025-2711

Other identifiers 1

IdentifierTypeStateIssuer
0397738MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL zip

National Provider Directory

National Provider Directory

Locations

466 Northfield Rd
Bedford, OH 44146

10333 Northfield Rd
Unit 74D
Northfield, OH 44067
Phone (330) 990-0650

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1392940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638921600000",
    "number": "1588089924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "466 NORTHFIELD RD # LL",
            "city": "BEDFORD",
            "state": "OH",
            "postal_code": "441462287",
            "telephone_number": "144-025-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10333 NORTHFIELD RD UNIT 74D",
            "city": "NORTHFIELD",
            "state": "OH",
            "postal_code": "440671471",
            "telephone_number": "330-990-0650",
            "fax_number": "330-777-8520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HEALTHCARE SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-21",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KERRENA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "330-990-0650"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0397738",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "zip",
            "affiliation": "N",
            "address_1": "10333 Northfield Rd Unit 74D",
            "city": "Northfield",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440671471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Northfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.