Active NPI
Valerie Jean Bomar
- Home Health Aide
- Dublin, OH
National Provider Identifier
1821690025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 2470651
- Practice address
- 9810 Archer LN
Dublin, OH 43017-8914 - Phone
- (120) 557-7077
- NPI assigned
- Nov 12, 2020
- 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 | 2470651 | OH | Primary |
Addresses
Primary practice location
9810 Archer LN
Dublin, OH 43017-8914
Mailing address
7535 Nature Way
Plain City, OH 43064-7599
Phone (120) 557-7077
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2470651 | Medicaid | OH |
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 |
|---|---|---|---|
| 2470651 | OH | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605139200000",
"number": "1821690025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7535 NATURE WAY",
"city": "PLAIN CITY",
"state": "OH",
"postal_code": "430647599",
"telephone_number": "120-557-7077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9810 ARCHER LN",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430178914",
"telephone_number": "120-557-7077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOMAR",
"first_name": "VALERIE",
"middle_name": "JEAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-12",
"last_updated": "2020-11-12",
"certification_date": "2020-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "OH",
"license": "2470651",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2470651",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dublin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.