Organization Active NPI

Odjfs

  • Nurse's Aide
  • Ashtabula, OH
National Provider Identifier
1669691937
Registry record updated Jul 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
2436162 Issued in OH
Legal business name
ODJFS
Practice address
1369 E 27TH St
Ashtabula, OH 44004-5103
Phone
(440) 992-8470
NPI assigned
Apr 25, 2007
Last updated
Jul 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2008

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

Authorized official

Name
Mrs. Robin Henson
Title
Home Health Aide
Phone
(440) 992-8470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 2436162 OH Primary

Addresses

Primary practice location

1369 E 27TH St
Ashtabula, OH 44004-5103

Mailing address

1369 E 27TH St
Ashtabula, OH 44004-5103

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1669691937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1369 E 27TH ST",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440045103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1369 E 27TH ST",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440045103",
            "telephone_number": "440-992-8470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODJFS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "HENSON",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "HOME HEALTH AIDE",
        "authorized_official_telephone_number": "440-992-8470",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OH",
            "license": "2436162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashtabula, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; 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.