Letitia Ann Mellert

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

140 N Spring Grove St
Medina, OH 44256-1919

Phone

(330) 990-9578

NPI assigned

Nov 23, 2021

Last updated

Nov 23, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1699432757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 N SPRING GROVE ST",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442561919",
            "telephone_number": "330-990-9578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 N SPRING GROVE ST",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442561919",
            "telephone_number": "330-990-9578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLERT",
        "first_name": "LETITIA",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-23",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0463689",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ethan T Mengle, OD
• Amanda Kristen Mergy, CNP

• Home Health Aide in Medina, OH
• Providers in Medina, OH by specialty
• Home Health Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; 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.