Active NPI
Jill Stoody
- Home Health Aide
- Jefferson, OH
National Provider Identifier
1982745949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 1730 E Union Rd
Jefferson, OH 44047-8657 - Phone
- (440) 858-2286
- NPI assigned
- Feb 10, 2007
- Last updated
- Jul 9, 2007
- 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 Aide | 374U00000X | Primary |
Addresses
Primary practice location
1730 E Union Rd
Jefferson, OH 44047-8657
Mailing address
202 W Main Rd Lot 90
Conneaut, OH 44030-2050
Phone (330) 883-3879
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2464597 | Medicaid | OH |
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": "1171065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1982745949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 W MAIN RD LOT 90",
"city": "CONNEAUT",
"state": "OH",
"postal_code": "440302050",
"telephone_number": "330-883-3879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1730 E UNION RD",
"city": "JEFFERSON",
"state": "OH",
"postal_code": "440478657",
"telephone_number": "440-858-2286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOODY",
"first_name": "JILL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-10",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2464597",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jefferson, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.