Organization Active NPI

Ohio Network for Innovation

  • Homemaker
  • Mount Vernon, OH
National Provider Identifier
1881309912
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
Legal business name
OHIO NETWORK FOR INNOVATION
Practice address
1 Avalon Rd
Mount Vernon, OH 43050-1403
Phone
(740) 485-5869
NPI assigned
Jan 23, 2023
Last updated
Jan 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Authorized official

Name
Josh Young
Title
Director of Operations
Phone
(740) 485-5869

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Homemaker 376J00000X Primary

Addresses

Primary practice location

1 Avalon Rd
Mount Vernon, OH 43050-1403

Mailing address

1 Avalon Rd
Mount Vernon, OH 43050-1403
Phone (740) 485-5869

Other identifiers 1

IdentifierTypeStateIssuer
0429240MedicaidOH

National Provider Directory

National Provider Directory

Locations

1 Avalon Rd
Mount Vernon, OH 43050
Phone (440) 725-3948

NPI Registry JSON

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1881309912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 AVALON RD",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430501403",
            "telephone_number": "740-485-5869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 AVALON RD",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430501403",
            "telephone_number": "740-485-5869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO NETWORK FOR INNOVATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-17",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "JOSH",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "740-485-5869"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0429240",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.