Justin Umholtz, CASE MANAGER

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

9600 Old State Rd
Chardon, OH 44024-9260

Phone

(859) 652-2771

NPI assigned

Jul 24, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Prosperity Haven, LLC

  • Substance Abuse Rehabilitation Facility
  • Chardon, OH
  • NPI 1538774393
  NPD
• Prosperity Haven, LLC

  • Substance Abuse Rehabilitation Facility
  • Chardon, OH
  • NPI 1689186769
  NPD (past)

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1639723067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 OLD STATE RD",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440249260",
            "telephone_number": "859-652-2771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 OLD STATE RD",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440249260",
            "telephone_number": "859-652-2771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMHOLTZ",
        "first_name": "JUSTIN",
        "credential": "CASE MANAGER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-24",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Uhhs - Heather Hill Rehabilitation Hospital Inc (University Hospitals Extended Care Campus - HH SNF)
• Uhhs - Heather Hill Rehabilitation Hospital Inc (University Hospitals Extended Care Campus - SNF)
• Uhhs-Geneva Sleep Center
• Jessica Uhl
• Jackie Marie Ujcich, LPN
• University Emergency Specialists of Bedford, Inc (Geauga)
• University Hospitals Cleveland Medical Center (UH Meds Geauga Pharmacy)
• University Hospitals Medical Group, Inc
• University Hospitals Medical Group, Inc.
• University Hospitals Medical Group, Inc.

• Case Manager/Care Coordinator in Chardon, OH
• Providers in Chardon, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; 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.