Active NPI
Marita Q Augustine
- In Home Supportive Care Agency
- Cleveland, OH
National Provider Identifier
1881361947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Practice address
- 4400 Clarkwood Pkwy Apt J229
Cleveland, OH 44128-4822 - Phone
- (216) 288-3390
- NPI assigned
- Aug 26, 2021
- Sex
- Female
- Sole proprietor
- Yes
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
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
4400 Clarkwood Pkwy Apt J229
Cleveland, OH 44128-4822
Mailing address
4400 Clarkwood Pkwy Apt J229
Cleveland, OH 44128-4822
Phone (216) 288-3390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 26, 2021.
{
"created_epoch": "1629936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629936000000",
"number": "1881361947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 CLARKWOOD PKWY APT J229",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441284822",
"telephone_number": "216-288-3390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 CLARKWOOD PKWY APT J229",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441284822",
"telephone_number": "216-288-3390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUGUSTINE",
"first_name": "MARITA",
"middle_name": "Q",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-26",
"last_updated": "2021-08-26",
"certification_date": "2021-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Aug 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.