NPIMap

Organization Active NPI

Tracy O St.Clair LLC

  • Home Health Agency
  • Massillon, OH
National Provider Identifier
1861822462
Registry record updated Nov 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
2166991 Issued in OH
Legal business name
TRACY O ST.CLAIR LLC
Practice address
831 Hemlock St NW
Massillon, OH 44647-8817
Phone
(330) 704-2762
NPI assigned
Nov 18, 2013
Last updated
Nov 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2013

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

Authorized official

Name
Tracy Onna St.ClairNPI 1922210368
Title
Ceo
Phone
(330) 704-2762

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 2166991 OH Primary

Addresses

Primary practice location

831 Hemlock St NW
Massillon, OH 44647-8817

Mailing address

831 Hemlock St NW
Massillon, OH 44647-8817
Phone (330) 704-2762

Other identifiers 1

IdentifierTypeStateIssuer
0085954MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384732800000",
    "number": "1861822462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 HEMLOCK ST NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446478817",
            "telephone_number": "330-704-2762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 HEMLOCK ST NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446478817",
            "telephone_number": "330-704-2762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACY O ST.CLAIR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-18",
        "last_updated": "2013-11-18",
        "status": "A",
        "authorized_official_last_name": "ST.CLAIR",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "ONNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "330-704-2762"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "2166991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0085954",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Massillon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; 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.