Active NPI
Angela Renee Galloway
- Home Health Aide
- Lucasville, OH
National Provider Identifier
1619192234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 1687 Cook Rd
Lucasville, OH 45648-8530 - Phone
- (740) 352-5589
- NPI assigned
- Apr 17, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
1687 Cook Rd
Lucasville, OH 45648-8530
Mailing address
1084 Arion Rd
MC Dermott, OH 45652-9022
Phone (740) 372-0584
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2656657 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1619192234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1084 ARION RD",
"city": "MC DERMOTT",
"state": "OH",
"postal_code": "456529022",
"telephone_number": "740-372-0584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1687 COOK RD",
"city": "LUCASVILLE",
"state": "OH",
"postal_code": "456488530",
"telephone_number": "740-352-5589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLOWAY",
"first_name": "ANGELA",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-17",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2656657",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lucasville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.