Organization Active NPI

Self Employed

  • Home Health Aide
  • Worthington, OH
National Provider Identifier
1942616214
Registry record updated Jul 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
SELF EMPLOYED
Practice address
7634 Kelvinway Dr
Worthington, OH 43085-5304
Phone
(614) 592-8192
NPI assigned
Jul 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2014

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

Authorized official

Name
Ms. Mercy W Kibe, HHA, CNA, CMA
Title
Home Health Aid
Phone
(614) 592-8192

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

7634 Kelvinway Dr
Worthington, OH 43085-5304

Mailing address

7634 Kelvinway Dr
Worthington, OH 43085-5304
Phone (614) 592-8192

Other names 1

  • self employed Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404777600000",
    "number": "1942616214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7634 KELVINWAY DR",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430855304",
            "telephone_number": "614-592-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7634 KELVINWAY DR",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430855304",
            "telephone_number": "614-592-8192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF EMPLOYED",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-08",
        "last_updated": "2014-07-08",
        "status": "A",
        "authorized_official_last_name": "KIBE",
        "authorized_official_first_name": "MERCY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "HOME HEALTH AID",
        "authorized_official_telephone_number": "614-592-8192",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "HHA, CNA, CMA"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "self employed",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Worthington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; 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.