Active NPI
David Michael Anthony
- In Home Supportive Care Agency
- Lakewood, OH
National Provider Identifier
1861250219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- SZ688434
- Practice address
- 1327 Bonnieview Ave Apt 209
Lakewood, OH 44107-2377 - Phone
- (216) 315-2328
- NPI assigned
- Mar 11, 2024
- Last updated
- Apr 24, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | SZ688434 | OH | Primary |
Addresses
Primary practice location
1327 Bonnieview Ave Apt 209
Lakewood, OH 44107-2377
Mailing address
1327 Bonnieview Ave Apt 209
Lakewood, OH 44107-2377
Phone (216) 315-2328
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 |
|---|---|---|---|
| SZ688434 | OH | MD | In Home Supportive Care Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713916800000",
"number": "1861250219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1327 BONNIEVIEW AVE APT 209",
"city": "LAKEWOOD",
"state": "OH",
"postal_code": "441072377",
"telephone_number": "216-315-2328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1327 BONNIEVIEW AVE APT 209",
"city": "LAKEWOOD",
"state": "OH",
"postal_code": "441072377",
"telephone_number": "216-315-2328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTHONY",
"first_name": "DAVID",
"middle_name": "MICHAEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-03-11",
"last_updated": "2024-04-24",
"certification_date": "2024-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "OH",
"license": "SZ688434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.