Individual provider Active NPI

Siearra Marie Anderson

  • Home Health Aide
  • Toledo, OH
National Provider Identifier
1669235206
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
0213960 Issued in OH
Practice address
3950 Sunforest CT # 244
Toledo, OH 43623-4485
Phone
(419) 901-7224
Fax
(419) 574-6400
NPI assigned
Feb 6, 2024
Last updated
Feb 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X 0213960 OH Primary

Addresses

Primary practice location

3950 Sunforest CT # 244
Toledo, OH 43623-4485

Mailing address

3950 Sunforest CT # 244
Toledo, OH 43623-4485
Phone (419) 901-7224

Other identifiers 1

IdentifierTypeStateIssuer
0213960MedicaidOH

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

State licenses

LicenseStateTypeSpecialty
0213960OHMDHome Health Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Baileys Loving Hands LLC Home Health Aide CurrentSince Feb 11, 2024 Accepting new patients

Locations

3950 Sunforest Ct
Ste 244
Toledo, OH 43623
Phone (419) 901-7224

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1669235206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 SUNFOREST CT # 244",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234485",
            "telephone_number": "419-901-7224",
            "fax_number": "419-574-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 SUNFOREST CT # 244",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234485",
            "telephone_number": "419-901-7224",
            "fax_number": "419-574-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "SIEARRA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "OH",
            "license": "0213960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0213960",
            "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 Feb 6, 2024; 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.