Active NPI
Lolita Gator, STNA
- Personal Care Attendant
- Euclid, OH
National Provider Identifier
1902217367
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective May 18, 2023.
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- License
- 401468431212
- Practice address
- 2150 Glenridge Rd
Euclid, OH 44117-2428 - Phone
- (216) 526-9556
- NPI assigned
- May 19, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | 401468431212 | OH | Primary |
Addresses
Primary practice location
2150 Glenridge Rd
Euclid, OH 44117-2428
Mailing address
2150 Glenridge Rd
Euclid, OH 44117-2428
Phone (216) 526-9556
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 401468431212 | OH | MD | Personal Care Attendant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400457600000",
"number": "1902217367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2150 GLENRIDGE RD",
"city": "EUCLID",
"state": "OH",
"postal_code": "441172428",
"telephone_number": "216-526-9556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 GLENRIDGE RD",
"city": "EUCLID",
"state": "OH",
"postal_code": "441172428",
"telephone_number": "216-526-9556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GATOR",
"first_name": "LOLITA",
"credential": "STNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-19",
"last_updated": "2014-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "OH",
"license": "401468431212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Euclid, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.