Organization Active NPI

Disability Employment Services

  • In Home Supportive Care Agency
  • Granville, OH
National Provider Identifier
1750093365
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
DISABILITY EMPLOYMENT SERVICES
Practice address
4827 Gale Rd
Granville, OH 43023-9180
Phone
(740) 208-3752
NPI assigned
Dec 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Authorized official

Name
Justin Smith, JD
Title
Director
Phone
(740) 208-3752

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

4827 Gale Rd
Granville, OH 43023-9180

Mailing address

4827 Gale Rd
Granville, OH 43023-9180
Phone (740) 208-3752

Other identifiers 1

IdentifierTypeStateIssuer
0500672MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1671062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671062400000",
    "number": "1750093365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4827 GALE RD",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430239180",
            "telephone_number": "740-208-3752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4827 GALE RD",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430239180",
            "telephone_number": "740-208-3752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISABILITY EMPLOYMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-15",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "740-208-3752",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0500672",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Granville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; 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.