Lorrie Lee Tackett

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Practice address

1482 Maxwell Dr
Mansfield, OH 44906-2376

Phone

(419) 565-6075

NPI assigned

Dec 28, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1891382750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 KENTUCKY AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449052015",
            "telephone_number": "419-565-6075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1482 MAXWELL DR",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449062376",
            "telephone_number": "419-565-6075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TACKETT",
        "first_name": "LORRIE",
        "middle_name": "LEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-28",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0251257",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janice L Sweet, LSW
• Frances Lillian Swiderski, MACCC-SLP
• Marquis Levar Sykes
• T L Sazdanoff DC Inc
• Harout Michael Tabrizi
• Margaret Tackett, LSW
• Taej Residential Care, LLC
• Taking Root Farms
• Gubert Lee Tan, MD
• Montana Tanner

• Home Health Agency in Mansfield, OH
• Providers in Mansfield, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.

Verify at the official NPI Registry.