Individual provider Active NPI

Rafeekah Hameeda Johnson

  • Home Health Aide
  • Youngstown, OH
National Provider Identifier
1821596511
Registry record updated Jan 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
99 N Truesdale Ave
Youngstown, OH 44506-1326
Phone
(234) 228-5050
NPI assigned
Jan 27, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X Primary
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X OH

Addresses

Primary practice location

99 N Truesdale Ave
Youngstown, OH 44506-1326

Mailing address

99 N Truesdale Ave
Youngstown, OH 44506-1326
Phone (234) 228-5050

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

NPI Registry JSON

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

{
    "created_epoch": "1517011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517011200000",
    "number": "1821596511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 N TRUESDALE AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445061326",
            "telephone_number": "234-228-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 N TRUESDALE AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445061326",
            "telephone_number": "234-228-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RAFEEKAH",
        "middle_name": "HAMEEDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-27",
        "last_updated": "2018-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": "OH",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2018; 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.