Active NPI
Jasmaine S King
- Home Health Agency
- Maple Heights, OH
National Provider Identifier
1922768795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Practice address
- 14617 Wheeler Rd
Maple Heights, OH 44137-4036 - Phone
- (216) 356-0789
- NPI assigned
- Dec 21, 2021
- 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 |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
14617 Wheeler Rd
Maple Heights, OH 44137-4036
Mailing address
14617 Wheeler Rd
Maple Heights, OH 44137-4036
Phone (216) 356-0789
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831880 | Other | OH | DODD |
| 0445381 | 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": "1640044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640044800000",
"number": "1922768795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14617 WHEELER RD",
"city": "MAPLE HEIGHTS",
"state": "OH",
"postal_code": "441374036",
"telephone_number": "216-356-0789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14617 WHEELER RD",
"city": "MAPLE HEIGHTS",
"state": "OH",
"postal_code": "441374036",
"telephone_number": "216-356-0789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "JASMAINE",
"middle_name": "S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-21",
"last_updated": "2021-12-21",
"certification_date": "2021-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DODD",
"identifier": "1831880",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0445381",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Maple Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.