Carolyn Jean Heidelberg

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

6 Abbey Rd
Perrysburg, OH 43551-3170

Phone

(567) 288-4325

NPI assigned

Jun 3, 2014

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": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1740693118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 SOUTHFIELD DRIVE",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435372710",
            "telephone_number": "567-288-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 ABBEY RD",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435513170",
            "telephone_number": "567-288-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIDELBERG",
        "first_name": "CAROLYN",
        "middle_name": "JEAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-03",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2938414",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael A Healy, M.D.
• Heartland Home Health Care Services, Inc.
• Heartland of Perrysburg Oh, LLC
• Heel and Toe Podiatry LLC
• Brittany Hehr, RPH, PHARMD
• Todd A Helfman, DO
• John G Henline, ATC
• Denise Marie Hennan
• Erin Marie Hennessey, APRN
• Kelly Hennig, APRN, FNP-C

• Personal Care Attendant in Perrysburg, OH
• Providers in Perrysburg, OH by specialty
• Personal Care Attendant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; 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.