Individual provider Active NPI

Jessica Rose Hoffer

  • Home Health Aide
  • MC Dermott, OH
National Provider Identifier
1902474075
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
147 State Route 371
MC Dermott, OH 45652-9089
Phone
(740) 981-7367
NPI assigned
Jun 15, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X Primary

Addresses

Primary practice location

147 State Route 371
MC Dermott, OH 45652-9089

Mailing address

147 State Route 371
MC Dermott, OH 45652-9089
Phone (740) 981-7367

Other practice location 1

82 Hulet Street
McDermott, OH 45652-4565
Phone (740) 981-7367

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": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1902474075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 STATE ROUTE 371",
            "city": "MC DERMOTT",
            "state": "OH",
            "postal_code": "456529089",
            "telephone_number": "740-981-7367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 STATE ROUTE 371",
            "city": "MC DERMOTT",
            "state": "OH",
            "postal_code": "456529089",
            "telephone_number": "740-981-7367"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "82 Hulet Street",
            "address_purpose": "LOCATION",
            "city": "McDermott",
            "state": "OH",
            "postal_code": "456524565",
            "country_code": "US",
            "telephone_number": "740-981-7367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOFFER",
        "first_name": "JESSICA",
        "middle_name": "ROSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Dermott, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.