Jennifer L Haas

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

2251549 Issued in OH

Practice address

608 Autumn Dr
Amherst, OH 44001-2402

Phone

(440) 986-0686

NPI assigned

Dec 15, 2020

Last updated

Dec 15, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1659967594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 AUTUMN DR",
            "city": "AMHERST",
            "state": "OH",
            "postal_code": "440012402",
            "telephone_number": "144-098-6068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 AUTUMN DR",
            "city": "AMHERST",
            "state": "OH",
            "postal_code": "440012402",
            "telephone_number": "440-986-0686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAS",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-15",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "OH",
            "license": "2251549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell Goozdich III, DC
• Raquel Grant Venable, PA-C
• Karen S. Green, M.A., CCC-A
• Sabrina Grigsby
• Michelle Grove, CNM
• Thomas James Haglund, PH.D.
• Angela Hainline, CDCAII
• Hand Therapy Specialists, Inc.
• Kimberly Byrne Haney, ATC
• Sharon K Harper

• Home Health Aide in Amherst, OH
• Providers in Amherst, OH by specialty
• Home Health Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.