Individual provider Active NPI

Janet M McDaniel, IP

  • Home Health Aide
  • Manchester, OH
National Provider Identifier
1629237185
Registry record updated Jun 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
2687285 Issued in OH
Practice address
1717 Cabin Creek Rd
Manchester, OH 45144-9352
Phone
(937) 549-3613
NPI assigned
Jun 9, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X 2687285 OH Primary

Addresses

Primary practice location

1717 Cabin Creek Rd
Manchester, OH 45144-9352

Mailing address

1717 Cabin Creek Rd
Manchester, OH 45144-9352
Phone (937) 549-3613

Other identifiers 1

IdentifierTypeStateIssuer
2687285MedicaidOH

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

State licenses

LicenseStateTypeSpecialty
2687285OHMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212969600000",
    "number": "1629237185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 CABIN CREEK RD",
            "city": "MANCHESTER",
            "state": "OH",
            "postal_code": "451449352",
            "telephone_number": "937-549-3613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 CABIN CREEK RD",
            "city": "MANCHESTER",
            "state": "OH",
            "postal_code": "451449352",
            "telephone_number": "937-549-3613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "JANET",
        "middle_name": "M",
        "credential": "IP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-09",
        "last_updated": "2008-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "OH",
            "license": "2687285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2687285",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.