Active NPI
Carmalita Banks
- Home Health Agency
- Maple Heights, OH
National Provider Identifier
1659988699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Practice address
- 5137 Stanley Ave
Maple Heights, OH 44137-2826 - Phone
- (121) 628-0568
- NPI assigned
- Sep 24, 2020
- Last updated
- Sep 24, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | OH | Primary | |
| Home Infusion Agency | 251F00000X | NU | ||
| Nursing Care Agency | 251J00000X | NU | ||
| Public Health or Welfare Agency | 251K00000X | NU | ||
| Exclusive Provider Organization | 302F00000X | NU | ||
| Preferred Provider Organization | 305R00000X | NU | ||
| Foster Care Agency | 253J00000X | NU | ||
| In Home Supportive Care Agency | 253Z00000X | NU |
Addresses
Primary practice location
5137 Stanley Ave
Maple Heights, OH 44137-2826
Mailing address
5137 Stanley Ave
Maple Heights, OH 44137-2826
Phone (216) 280-5681
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0174860 | Medicaid | OH |
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": "1600905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600905600000",
"number": "1659988699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5137 STANLEY AVE",
"city": "MAPLE HEIGHTS",
"state": "OH",
"postal_code": "441372826",
"telephone_number": "216-280-5681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5137 STANLEY AVE",
"city": "MAPLE HEIGHTS",
"state": "OH",
"postal_code": "441372826",
"telephone_number": "121-628-0568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANKS",
"first_name": "CARMALITA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-24",
"last_updated": "2020-09-24",
"certification_date": "2020-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "OH",
"license": null,
"primary": true
},
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "302F00000X",
"taxonomy_group": "",
"desc": "Exclusive Provider Organization",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "253J00000X",
"taxonomy_group": "",
"desc": "Foster Care Agency",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0174860",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Maple Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.