Active NPI
Mary S Hale, LPN
- Home Health Aide
- Hartville, OH
National Provider Identifier
1740581024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- PN111160
- Practice address
- 230 Grand Trunk Ave SW
Apt. C
Hartville, OH 44632-9678 - Phone
- (330) 309-1822
- NPI assigned
- Nov 3, 2010
- 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 Aide | 374U00000X | PN111160 | OH | Primary |
Addresses
Primary practice location
230 Grand Trunk Ave SW
Apt. C
Hartville, OH 44632-9678
Mailing address
230 Grand Trunk Ave SW
Apt. C
Hartville, OH 44632-9678
Phone (330) 309-1822
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
| License | State | Type | Specialty |
|---|---|---|---|
| PN111160 | OH | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288742400000",
"number": "1740581024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 GRAND TRUNK AVE SW",
"address_2": "APT. C",
"city": "HARTVILLE",
"state": "OH",
"postal_code": "446329678",
"telephone_number": "330-309-1822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 GRAND TRUNK AVE SW",
"address_2": "APT. C",
"city": "HARTVILLE",
"state": "OH",
"postal_code": "446329678",
"telephone_number": "330-309-1822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALE",
"first_name": "MARY",
"middle_name": "S",
"name_prefix": "Ms.",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-03",
"last_updated": "2010-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "OH",
"license": "PN111160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hartville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.