Med Image, LTD

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MED IMAGE, LTD

Doing business as

Med mage Home Care

Practice address

115 W Walton St
Willard, OH 44890-9418

Phone

(419) 933-2200

Fax

(419) 933-2202

NPI assigned

Mar 24, 2009

Last updated

Mar 24, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Cathy Ellis, RN

Title

Owner/Ceo

Phone

(419) 933-2200

Specialties & licenses 1

Addresses

Other names 1

• Med mage Home Care Doing business as

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

{
    "created_epoch": "1237852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237852800000",
    "number": "1962644815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W WALTON ST",
            "city": "WILLARD",
            "state": "OH",
            "postal_code": "448909418",
            "telephone_number": "419-933-2200",
            "fax_number": "419-933-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W WALTON ST",
            "city": "WILLARD",
            "state": "OH",
            "postal_code": "448909418",
            "telephone_number": "419-933-2200",
            "fax_number": "419-933-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED IMAGE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-24",
        "last_updated": "2009-03-24",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "419-933-2200",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Med mage Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Willard, OH
• Providers in Willard, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2009; 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.