Individual provider Active NPI

James Camel Jr., LPN/IV

  • Adult Companion
  • Maple Heights, OH
National Provider Identifier
1871927640
Registry record updated Aug 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult CompanionTaxonomy code 372600000X
License
PN129164 Issued in OH
Practice address
20719 Watson Rd
Maple Heights, OH 44137-2033
Phone
(440) 310-3204
NPI assigned
Aug 28, 2013
Last updated
Aug 28, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Companion 372600000X PN129164 OH Primary

Addresses

Primary practice location

20719 Watson Rd
Maple Heights, OH 44137-2033

Mailing address

20719 Watson Rd
Maple Heights, OH 44137-2033
Phone (440) 310-3204

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

LicenseStateTypeSpecialty
PN129164OHMDAdult Companion

NPI Registry JSON

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

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377648000000",
    "number": "1871927640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20719 WATSON RD",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441372033",
            "telephone_number": "440-310-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20719 WATSON RD",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441372033",
            "telephone_number": "440-310-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMEL",
        "first_name": "JAMES",
        "name_suffix": "Jr.",
        "credential": "LPN/IV",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-28",
        "last_updated": "2013-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "OH",
            "license": "PN129164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.