Active NPI
Johnna Dean, LPN
- Home Health Agency
- Danville, WV
National Provider Identifier
1679295943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Practice address
- 298 Tricorn Rd
Danville, WV 25053-7148 - Phone
- (304) 369-1385
- Fax
- (304) 369-9684
- NPI assigned
- Sep 14, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
298 Tricorn Rd
Danville, WV 25053-7148
Mailing address
298 Tricorn Rd
Danville, WV 25053-7148
Phone (304) 369-1385
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21160 | Other | WV | LPN LICENSE |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boone Memorial Homecare, LLC | Home Health | Current | Accepting new patients |
Locations
298 Tricorn Rd
Danville, WV 25053
Phone (304) 369-1385
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.
-
- Home Health Agency
- Danville, WV
- NPI 1184848970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663113600000",
"number": "1679295943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "298 TRICORN RD",
"city": "DANVILLE",
"state": "WV",
"postal_code": "250537148",
"telephone_number": "304-369-1385",
"fax_number": "304-369-9684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "298 TRICORN RD",
"city": "DANVILLE",
"state": "WV",
"postal_code": "250537148",
"telephone_number": "304-369-1385",
"fax_number": "304-369-9684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAN",
"first_name": "JOHNNA",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-14",
"last_updated": "2022-09-14",
"certification_date": "2022-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LPN LICENSE",
"identifier": "21160",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Danville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.