Organization Active NPI

Mind Body Spirit Home Health

  • Home Health Aide
  • Toledo, OH
National Provider Identifier
1932946050
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
MIND BODY SPIRIT HOME HEALTH
Practice address
5402 Forest Hill CT
Toledo, OH 43623-1081
Phone
(414) 628-1591
NPI assigned
Jul 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Authorized official

Name
Mr. Alexis M Chamtcheu Tchamtcheu, BCC
Title
Administrator
Phone
(414) 628-1591

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

5402 Forest Hill CT
Toledo, OH 43623-1081

Mailing address

5402 Forest Hill CT
Toledo, OH 43623-1081
Phone (414) 628-1591

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1932946050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5402 FOREST HILL CT",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436231081",
            "telephone_number": "414-628-1591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5402 FOREST HILL CT",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436231081",
            "telephone_number": "414-628-1591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND BODY SPIRIT HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "CHAMTCHEU TCHAMTCHEU",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "414-628-1591",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BCC"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

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

Verify at the official NPI Registry.