Individual provider Active NPI

Oleg Dinovetskiy

  • Home Health Aide
  • Forest City, NC
National Provider Identifier
1992277248
Registry record updated Dec 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
FCL-081-054 Issued in NC
Practice address
542 Forest Lake Rd
Forest City, NC 28043-5112
Phone
(828) 447-5523
NPI assigned
Dec 27, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X FCL-081-054 NC Primary

Addresses

Primary practice location

542 Forest Lake Rd
Forest City, NC 28043-5112

Mailing address

358 Shady Woods LN
Rutherfordton, NC 28139-2768
Phone (828) 447-5523

Other practice location 1

149 Reid St
Forest City, NC 28043-3591
Phone (828) 447-5523

Other practice location 2

141 Fox Run
Forest City, NC 28043-7308
Phone (828) 447-5523

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

State licenses

LicenseStateTypeSpecialty
FCL-081-054NCMDHome Health Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa'S Family Care Home LLC. Past Accepting new patients
Open Arms Family Care Home Inc. Past Accepting new patients
Hopewell Care Inc. Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1545868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545868800000",
    "number": "1992277248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 SHADY WOODS LN",
            "city": "RUTHERFORDTON",
            "state": "NC",
            "postal_code": "281392768",
            "telephone_number": "828-447-5523",
            "fax_number": "828-286-1427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 FOREST LAKE RD",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280435112",
            "telephone_number": "828-447-5523"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "149 Reid St",
            "address_purpose": "LOCATION",
            "city": "Forest City",
            "state": "NC",
            "postal_code": "280433591",
            "country_code": "US",
            "telephone_number": "828-447-5523",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "141 Fox Run",
            "address_purpose": "LOCATION",
            "city": "Forest City",
            "state": "NC",
            "postal_code": "280437308",
            "country_code": "US",
            "telephone_number": "828-447-5523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DINOVETSKIY",
        "first_name": "OLEG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-27",
        "last_updated": "2018-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NC",
            "license": "FCL-081-054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2018; 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.