Individual provider Active NPI

Juanita Glover, OTA/L

  • Home Health Aide
  • Lorain, OH
National Provider Identifier
1639874043
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
3902 Woodworth Dr
Lorain, OH 44053-1187
Phone
(212) 162-5527
Fax
(440) 538-3006
NPI assigned
Apr 4, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X Primary
Occupational Therapy Assistant 224Z00000X

Addresses

Primary practice location

3902 Woodworth Dr
Lorain, OH 44053-1187

Mailing address

3902 Woodworth Dr
Lorain, OH 44053-1187
Phone (216) 255-2764

Other practice location 1

3902 Woodworth Dr
Lorain, OH 44053-1187
Phone (216) 255-2764

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": "1680566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1639874043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3902 WOODWORTH DR",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440531187",
            "telephone_number": "216-255-2764",
            "fax_number": "444-405-3830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3902 WOODWORTH DR",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440531187",
            "telephone_number": "212-162-5527",
            "fax_number": "440-538-3006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3902 Woodworth Dr",
            "address_purpose": "LOCATION",
            "city": "Lorain",
            "state": "OH",
            "postal_code": "440531187",
            "country_code": "US",
            "telephone_number": "216-255-2764",
            "fax_number": "444-405-3830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLOVER",
        "first_name": "JUANITA",
        "credential": "OTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-04",
        "last_updated": "2023-04-04",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorain, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; 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.