Individual provider Active NPI

Candace Sue Heffelfinger

  • Home Health Aide
  • Piqua, OH
National Provider Identifier
1700095080
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
400306741103 Issued in OH
Practice address
1475 Stockham Dr
Piqua, OH 45356-9516
Phone
(937) 778-1784
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 400306741103 OH Primary

Addresses

Primary practice location

1475 Stockham Dr
Piqua, OH 45356-9516

Mailing address

1475 Stockham Dr
Piqua, OH 45356-9516

Other identifiers 2

IdentifierTypeStateIssuer
400306741103OtherOHSTATE NURSE AIDE NUMBER
2704434OtherOHPROVIDER NUMBER

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
400306741103OHMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700095080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 STOCKHAM DR",
            "city": "PIQUA",
            "state": "OH",
            "postal_code": "453569516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 STOCKHAM DR",
            "city": "PIQUA",
            "state": "OH",
            "postal_code": "453569516",
            "telephone_number": "937-778-1784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEFFELFINGER",
        "first_name": "CANDACE",
        "middle_name": "SUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "OH",
            "license": "400306741103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE NURSE AIDE NUMBER",
            "identifier": "400306741103",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "2704434",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Piqua, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.