NPIMap

Organization Active NPI

Families Affair Homecare

  • Pediatric Skilled Nursing Facility
  • Euclid, OH
National Provider Identifier
1740558741
Registry record updated Jan 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X
License
PN122825 MEDS Issued in OH
Legal business name
FAMILIES AFFAIR HOMECARE
Practice address
21770 Fuller Ave
Euclid, OH 44123-2763
Phone
(216) 326-1834
NPI assigned
Dec 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2012

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

Authorized official

Name
Shawntae JohnsonNPI 1093083024
Title
LPN
Phone
(216) 326-1834

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
Pediatric Skilled Nursing Facility 3140N1450X PN122825 MEDS OH Primary

Addresses

Primary practice location

21770 Fuller Ave
Euclid, OH 44123-2763

Mailing address

21770 Fuller Avenue
Euclid, OH 44123

Other identifiers 1

IdentifierTypeStateIssuer
1093083024OtherOHNPI

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": "1323043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327363200000",
    "number": "1740558741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21770 FULLER AVENUE",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "44123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21770 FULLER AVE",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441232763",
            "telephone_number": "216-326-1834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILIES AFFAIR HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-05",
        "last_updated": "2012-01-24",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SHAWNTAE",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "216-326-1834"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "OH",
            "license": "PN122825 MEDS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1093083024",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jan 24, 2012; 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.