Active NPI
James Boothe
- Home Health Aide
- Youngstown, OH
National Provider Identifier
1891106407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 741 Winona Dr
Youngstown, OH 44511-1401 - Phone
- (330) 360-3437
- Fax
- (216) 341-0614
- NPI assigned
- May 16, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
741 Winona Dr
Youngstown, OH 44511-1401
Mailing address
741 Winona Dr
Youngstown, OH 44511-1401
Phone (330) 360-3437
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0050204 | Medicaid | OH |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400198400000",
"number": "1891106407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "741 WINONA DR",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445111401",
"telephone_number": "330-360-3437",
"fax_number": "216-341-0614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "741 WINONA DR",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445111401",
"telephone_number": "330-360-3437",
"fax_number": "216-341-0614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOOTHE",
"first_name": "JAMES",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-16",
"last_updated": "2014-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0050204",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.