Organization Active NPI

Michelle Roundtree

  • Home Health Agency
  • Toledo, OH
National Provider Identifier
1649693789
Registry record updated Jan 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MICHELLE ROUNDTREE
Practice address
1144 Lincoln Ave
Toledo, OH 43607-1923
Phone
(419) 870-1409
NPI assigned
Jan 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2014

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

Authorized official

Name
Michelle RoundtreeNPI 1831948967
Title
Non Personal Aid
Phone
(418) 970-1409

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X OH Primary

Addresses

Primary practice location

1144 Lincoln Ave
Toledo, OH 43607-1923

Mailing address

1144 Lincoln Ave
Toledo, OH 43607-1923
Phone (419) 870-1409

Other identifiers 1

IdentifierTypeStateIssuer
INDIVIDUAL PROVIDERMedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1390608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390608000000",
    "number": "1649693789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 LINCOLN AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436071923",
            "telephone_number": "419-870-1409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 LINCOLN AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436071923",
            "telephone_number": "419-870-1409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE ROUNDTREE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-25",
        "last_updated": "2014-01-25",
        "status": "A",
        "authorized_official_last_name": "ROUNDTREE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "NON PERSONAL AID",
        "authorized_official_telephone_number": "418-970-1409"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "INDIVIDUAL PROVIDER",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2014; 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.