NPIMap

Organization Active NPI

JM Clemente Co. LTD

  • Contractor
  • Warren, OH
National Provider Identifier
1659607455
Registry record updated Oct 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Legal business name
JM CLEMENTE CO. LTD
Practice address
3100 Niles Rd SE
Warren, OH 44484-3276
Phone
(330) 392-7069
Fax
(330) 392-7071
NPI assigned
Oct 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2009

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

Authorized official

Name
Mr. John Mark Clemente
Title
Owner/President
Phone
(330) 392-7069

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ContractorGroup: 193200000X MULTI-SPECIALTY GROUP 171W00000X Primary
Home Modifications ContractorGroup: 193200000X MULTI-SPECIALTY GROUP 171WH0202X

Addresses

Primary practice location

3100 Niles Rd SE
Warren, OH 44484-3276

Mailing address

3100 Niles Rd SE
Warren, OH 44484-3276
Phone (330) 392-7069

Other identifiers 2

IdentifierTypeStateIssuer
2939388MedicaidOH
7801552OtherOHODMRDD

National Provider Directory

National Provider Directory
Tax ID family
JM Clemente Co LTD3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1256774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256774400000",
    "number": "1659607455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 NILES RD SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444843276",
            "telephone_number": "330-392-7069",
            "fax_number": "330-392-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 NILES RD SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444843276",
            "telephone_number": "330-392-7069",
            "fax_number": "330-392-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JM CLEMENTE CO. LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-29",
        "last_updated": "2009-10-29",
        "status": "A",
        "authorized_official_last_name": "CLEMENTE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "330-392-7069",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171WH0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2939388",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ODMRDD",
            "identifier": "7801552",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; 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.