Active NPI
Samantha Jodian Williams
- Case Manager/Care Coordinator
- Dublin, OH
National Provider Identifier
1861109167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 525 Metro PL N Ste 300
Dublin, OH 43017-5320 - Phone
- (855) 289-1722
- NPI assigned
- Nov 4, 2022
- Last updated
- Oct 3, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | |||
| Homemaker | 376J00000X | |||
| Case Manager/Care Coordinator | 171M00000X | OH | Primary |
Addresses
Primary practice location
525 Metro PL N Ste 300
Dublin, OH 43017-5320
Mailing address
525 Metro PL N Ste 300
Dublin, OH 43017-5320
Phone (855) 289-1722
Other practice location 1
5007 Brice Meadow Dr
Canal Winchester, OH 43110-8573
Phone (614) 599-2698
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2910854 | 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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jah Homecare LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727913600000",
"number": "1861109167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 METRO PL N STE 300",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430175320",
"telephone_number": "855-289-1722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 METRO PL N STE 300",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430175320",
"telephone_number": "855-289-1722"
}
],
"practiceLocations": [
{
"address_1": "5007 Brice Meadow Dr",
"address_purpose": "LOCATION",
"city": "Canal Winchester",
"state": "OH",
"postal_code": "431108573",
"country_code": "US",
"telephone_number": "614-599-2698",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "SAMANTHA",
"middle_name": "JODIAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-04",
"last_updated": "2024-10-03",
"certification_date": "2024-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2910854",
"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 Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.