Organization Active NPI

Chauntelle Andrews

  • Nursing Care Agency
  • Canton, OH
National Provider Identifier
1962949883
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
0185349 Issued in OH
Legal business name
CHAUNTELLE ANDREWS
Practice address
3210 14TH St SW
Canton, OH 44710
Phone
(330) 313-6266
NPI assigned
Jan 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

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

Authorized official

Name
Hauntelle Andrews
Title
Independent Provider
Phone
(330) 313-6266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 0185349 OH Primary

Addresses

Primary practice location

3210 14TH St SW
Canton, OH 44710

Mailing address

3210 14TH St SW
Canton, OH 44710-2328
Phone (330) 313-6266

Other identifiers 1

IdentifierTypeStateIssuer
0185349MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1485734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485734400000",
    "number": "1962949883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 14TH ST SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447102328",
            "telephone_number": "330-313-6266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 14TH ST SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "44710",
            "telephone_number": "330-313-6266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAUNTELLE ANDREWS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-30",
        "last_updated": "2017-01-30",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "HAUNTELLE",
        "authorized_official_title_or_position": "INDEPENDENT PROVIDER",
        "authorized_official_telephone_number": "330-313-6266"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "OH",
            "license": "0185349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0185349",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; 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.