Homebound Primary Care LLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

10202 Issued in OH

Legal business name

HOMEBOUND PRIMARY CARE LLC

Practice address

18211 Gifford Rd
Wellington, OH 44090-8910

Phone

(855) 550-5605

NPI assigned

Dec 28, 2010

Last updated

Feb 29, 2012By 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. Christen Marie Gunder, RN,BSN, MSN, ANP-BC

Title

President

Phone

(855) 550-5605

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rosemary G Etheart, CNP

  • Nurse Practitioner
  • Westlake, OH
  • NPI 1417941428
  NPD (past)

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

{
    "created_epoch": "1293494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330473600000",
    "number": "1598069957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 208",
            "city": "WELLINGTON",
            "state": "OH",
            "postal_code": "440900208",
            "telephone_number": "855-550-5605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18211 GIFFORD RD",
            "city": "WELLINGTON",
            "state": "OH",
            "postal_code": "440908910",
            "telephone_number": "855-550-5605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMEBOUND PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-28",
        "last_updated": "2012-02-29",
        "status": "A",
        "authorized_official_last_name": "GUNDER",
        "authorized_official_first_name": "CHRISTEN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "855-550-5605",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN,BSN, MSN, ANP-BC"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "10202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3130865",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYEE NPI",
            "identifier": "1063665024",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Gigliotti, D.O
• Kenyon Glor, D.D.S.
• Bryanna Hall, OD
• Gregory Malcolm Higgins
• Julie E Hill, OD
• Amanda Lane Horn, NP-C
• Martha Hoyt
• Jennifer Renee Hunter, RN
• Saadia Hussain, M.D
• Jacko & Siefker DDS, LLC (Wellington Dental)

• Adult Health Nurse Practitioner in Wellington, OH
• Providers in Wellington, OH by specialty
• Adult Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; 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.