Brandon Patrick

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

1229 Bellflower Ave SW
Canton, OH 44710-2015

Phone

(330) 880-9748

NPI assigned

Dec 21, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1639766967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 BELLFLOWER AVE SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447102015",
            "telephone_number": "330-880-9748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 BELLFLOWER AVE SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447102015",
            "telephone_number": "330-880-9748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "BRANDON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-21",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0425743",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "canton",
            "affiliation": "N",
            "endpointDescription": "home",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1229 Bellflower Ave SW",
            "city": "Canton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "447102015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sujana K Patibandla, MD
• Vani M Patibandla, DDS
• Bireswar Patnaik, M.D.
• Amanda Patrick
• Billie Frances Patrick
• Stephanie L. Patrick, M.A.
• Patrick'S Helping Hands LLC
• Lauren Olivia Patterson
• Lisa L Patterson, LPN
• Mindy Patterson

• In Home Supportive Care Agency in Canton, OH
• Providers in Canton, OH by specialty
• In Home Supportive Care Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; 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.