Individual provider Active NPI

Reeve Carriero

  • Adult Day Care Clinic/Center
  • Mentor, OH
National Provider Identifier
1669068631
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Practice address
7770 Metric Dr
Mentor, OH 44060-4862
Phone
(216) 798-9231
NPI assigned
Dec 14, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X
Non-emergency Medical Transport (VAN) 343900000X
Private Vehicle 347C00000X
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

7770 Metric Dr
Mentor, OH 44060-4862

Mailing address

7770 Metric Dr
Mentor, OH 44060-4862
Phone (216) 798-9231

Other practice location 1

721 Mitchell Ave
Beverly, OH 45715-8942
Phone (216) 798-9231

Other identifiers 1

IdentifierTypeStateIssuer
0156948MedicaidOH

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

Practice roles

OrganizationSpecialtyStatusNew patients
C&J Provider Services In Home Supportive Care CurrentSince Jan 17, 2021 Accepting new patients

Locations

7770 Metric Dr
Mentor, OH 44060
Phone (216) 798-9231

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1669068631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7770 METRIC DR",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440604862",
            "telephone_number": "216-798-9231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7770 METRIC DR",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440604862",
            "telephone_number": "216-798-9231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "721 Mitchell Ave",
            "address_purpose": "LOCATION",
            "city": "Beverly",
            "state": "OH",
            "postal_code": "457158942",
            "country_code": "US",
            "telephone_number": "216-798-9231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARRIERO",
        "first_name": "REEVE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-14",
        "last_updated": "2020-12-14",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0156948",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.