NPIMap

Organization Active NPI

Careersource Management

  • Home Health Agency
  • Euclid, OH
National Provider Identifier
1689896193
Registry record updated Jul 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CAREERSOURCE MANAGEMENT
Practice address
27801 Euclid Avenue
100
Euclid, OH 44132
Phone
(216) 289-9112
Fax
(216) 289-9114
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2010

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

Authorized official

Name
Mr. Terry L MaynardNPI 1881103364
Title
President
Phone
(216) 289-9112

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X OH Primary

Addresses

Primary practice location

27801 Euclid Avenue
100
Euclid, OH 44132

Mailing address

27801 Euclid Avenue
100
Euclid, OH 44132
Phone (216) 289-9112

Other identifiers 3

IdentifierTypeStateIssuer
2461769MedicaidOH
2736249MedicaidOH
2893525MedicaidOH

Other names 1

  • MEDSOURCE HOME CARE Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279152000000",
    "number": "1689896193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27801 EUCLID AVENUE",
            "address_2": "100",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "44132",
            "telephone_number": "216-289-9112",
            "fax_number": "216-289-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27801 EUCLID AVENUE",
            "address_2": "100",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "44132",
            "telephone_number": "216-289-9112",
            "fax_number": "216-289-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREERSOURCE MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2010-07-15",
        "status": "A",
        "authorized_official_last_name": "MAYNARD",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-289-9112",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2461769",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2736249",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2893525",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDSOURCE HOME CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Euclid, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; 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.