Active NPI
Jennifer Yvette Rondon
- Home Health Agency
- Lorain, OH
National Provider Identifier
1962090936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Practice address
- 1323 Michigan Ave
Lorain, OH 44052-3135 - Phone
- (440) 444-8248
- NPI assigned
- Jan 6, 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
1323 Michigan Ave
Lorain, OH 44052-3135
Mailing address
1323 Michigan Ave
Lorain, OH 44052-3135
Phone (440) 444-8248
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41771323 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Lorain |
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": "1609891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609891200000",
"number": "1962090936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1323 MICHIGAN AVE",
"city": "LORAIN",
"state": "OH",
"postal_code": "440523135",
"telephone_number": "440-444-8248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1323 MICHIGAN AVE",
"city": "LORAIN",
"state": "OH",
"postal_code": "440523135",
"telephone_number": "440-444-8248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RONDON",
"first_name": "JENNIFER",
"middle_name": "YVETTE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-06",
"last_updated": "2021-01-06",
"certification_date": "2021-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41771323",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Lorain",
"affiliation": "N",
"address_1": "1323 Michigan Ave",
"city": "Lorain",
"state": "OH",
"country_code": "US",
"postal_code": "440523135",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lorain, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.