Active NPI
Brooke A Willmeth
- In Home Supportive Care Agency
- Medway, OH
National Provider Identifier
1902633829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- TQ648571
- Practice address
- 12010 Lower Valley Pike
Medway, OH 45341-9763 - Phone
- (937) 789-1135
- NPI assigned
- Sep 16, 2024
- Last updated
- Sep 16, 2024
- 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 |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | TQ648571 | OH | Primary |
Addresses
Primary practice location
12010 Lower Valley Pike
Medway, OH 45341-9763
Mailing address
12010 Lower Valley Pike
Medway, OH 45341-9763
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TQ648571 | OH | MD | In Home Supportive Care Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726444800000",
"number": "1902633829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12010 LOWER VALLEY PIKE",
"city": "MEDWAY",
"state": "OH",
"postal_code": "453419763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12010 LOWER VALLEY PIKE",
"city": "MEDWAY",
"state": "OH",
"postal_code": "453419763",
"telephone_number": "937-789-1135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLMETH",
"first_name": "BROOKE",
"middle_name": "A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-16",
"last_updated": "2024-09-16",
"certification_date": "2024-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "OH",
"license": "TQ648571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medway, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.