Organization Active NPI

Wyandotte Home Health Care Company

  • Home Health Agency
  • Cleveland, OH
National Provider Identifier
1861574113
Registry record updated Nov 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
200425701928 Issued in OH
Legal business name
WYANDOTTE HOME HEALTH CARE COMPANY
Practice address
850 Euclid Ave
Suite 619
Cleveland, OH 44114-3306
Phone
(216) 583-9002
Fax
(216) 583-9003
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2008

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

Authorized official

Name
Ms. Eddie Ammons
Title
Administrator
Phone
(216) 583-9002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 200425701928 OH Primary

Addresses

Primary practice location

850 Euclid Ave
Suite 619
Cleveland, OH 44114-3306

Mailing address

850 Euclid Ave Ste 619
Cleveland, OH 44114-3311
Phone (216) 583-9002

Other identifiers 2

IdentifierTypeStateIssuer
2704103MedicaidOH
OH03887OtherOHTEMPORARY PROVIDER NUMBER

National Provider Directory

National Provider Directory

Locations

850 Euclid Ave
Ste 619
Cleveland, OH 44114
Phone (216) 583-9002

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226275200000",
    "number": "1861574113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 EUCLID AVE STE 619",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441143311",
            "telephone_number": "216-583-9002",
            "fax_number": "216-583-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 EUCLID AVE",
            "address_2": "SUITE 619",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441143306",
            "telephone_number": "216-583-9002",
            "fax_number": "216-583-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYANDOTTE HOME HEALTH CARE COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2008-11-10",
        "status": "A",
        "authorized_official_last_name": "AMMONS",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "216-583-9002",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "200425701928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2704103",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEMPORARY PROVIDER NUMBER",
            "identifier": "OH03887",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2008; 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.