Active NPI
Tessa Skeens
- Home Health Agency
- Dayton, OH
National Provider Identifier
1962847236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 3651899
- Legal business name
- TESSA SKEENS
- Practice address
- 1914 Palisades Dr
Dayton, OH 45414 - Phone
- (937) 287-8460
- NPI assigned
- May 1, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tessa Patricia Skeens
- Title
- Nursing Assistant
- Phone
- (937) 287-8460
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 3651899 | OH | Primary |
Addresses
Primary practice location
1914 Palisades Dr
Dayton, OH 45414
Mailing address
1914 Palisades Dr
Dayton, OH 45414
Phone (937) 287-8460
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5074212043-MA-J-01 | Medicaid | OH |
Other names 1
- indepent provider
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367366400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1367366400000",
"number": "1962847236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1914 PALISADES DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "45414",
"telephone_number": "937-287-8460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1914 PALISADES DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "45414",
"telephone_number": "937-287-8460"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TESSA SKEENS",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-01",
"last_updated": "2013-05-01",
"status": "A",
"authorized_official_last_name": "SKEENS",
"authorized_official_first_name": "TESSA",
"authorized_official_middle_name": "PATRICIA",
"authorized_official_title_or_position": "NURSING ASSISTANT",
"authorized_official_telephone_number": "937-287-8460"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "OH",
"license": "3651899",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5074212043-MA-J-01",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "indepent provider",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.