Healthspan Physicians, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

HEALTHSPAN PHYSICIANS, LLC

Practice address

7695 Mentor Ave
Mentor, OH 44060-5540

Phone

(440) 602-3706

Fax

(440) 602-3708

NPI assigned

May 20, 2014

Organization subpart

No

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

Authorized official

Name

Michael Mileca

Title

Revenue Cycle Manager

Phone

(216) 265-8811

Specialties & licenses 1

Addresses

Other names 1

• HealthSpan Physicians - Mentor Doing business as

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

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411344000000",
    "number": "1952713331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12301 SNOW RD",
            "address_2": "REVENUE CYCLE DEPARTMENT",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441301002",
            "telephone_number": "866-265-8844",
            "fax_number": "216-265-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7695 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440605540",
            "telephone_number": "440-602-3706",
            "fax_number": "440-602-3708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSPAN PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-20",
        "last_updated": "2014-09-22",
        "status": "A",
        "authorized_official_last_name": "MILECA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "216-265-8811"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthSpan Physicians - Mentor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mia Haynes
• Cailyn Hays, OTR/L
• Felicia Hayward, NRCMA
• Eric Jon Headley, OTR/L, CHT
• Healthspan Integrated Care
• Healthy Solutions MD, LLC
• Heartland of Mentor Oh, LLC
• Christina Heimsoth, LISW-S
• William Hein, DO
• Brian P. Heinz, LPCC

• Durable Medical Equipment & Medical Supplies in Mentor, OH
• Providers in Mentor, OH by specialty
• Durable Medical Equipment & Medical Supplies in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.