Organization Active NPI

Providence Home Care

  • Home Health Agency
  • Highland HTS, OH
National Provider Identifier
1619160900
Registry record updated Aug 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PROVIDENCE HOME CARE
Practice address
230 Alpha Park
Highland HTS, OH 44143-2216
Phone
(440) 442-9800
NPI assigned
Aug 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2007

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

Authorized official

Name
Zhanna Iskhakova
Title
Don
Phone
(440) 442-9800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X OH Primary

Addresses

Primary practice location

230 Alpha Park
Highland HTS, OH 44143-2216

Mailing address

230 Alpha Park
Highland HTS, OH 44143-2216
Phone (440) 442-9800

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187654400000",
    "number": "1619160900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 ALPHA PARK",
            "city": "HIGHLAND HTS",
            "state": "OH",
            "postal_code": "441432216",
            "telephone_number": "440-442-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 ALPHA PARK",
            "city": "HIGHLAND HTS",
            "state": "OH",
            "postal_code": "441432216",
            "telephone_number": "440-442-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2007-08-21",
        "status": "A",
        "authorized_official_last_name": "ISKHAKOVA",
        "authorized_official_first_name": "ZHANNA",
        "authorized_official_title_or_position": "DON",
        "authorized_official_telephone_number": "440-442-9800"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland HTS, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.