Active NPI
Kendra K Sims, RN
- Administrator Registered Nurse
- Wellston, OH
National Provider Identifier
1992292650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Administrator Registered Nurse
- License
- 376642
- Practice address
- 1024 S Pennsylvania Ave
Wellston, OH 45692-1703 - Phone
- (740) 978-8481
- NPI assigned
- Apr 18, 2018
- 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 |
|---|---|---|---|---|
| Administrator Registered Nurse | 163WA2000X | 376642 | OH | Primary |
Addresses
Primary practice location
1024 S Pennsylvania Ave
Wellston, OH 45692-1703
Mailing address
1024 S Pennsylvania Ave
Wellston, OH 45692-1703
Phone (740) 577-5733
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2864002 | 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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 376642 | OH | MD | Administrator Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hometown Hands Home Health LLC | Current | Accepting new patients |
Locations
1024 S Pennsylvania Ave
Wellston, OH 45692
Phone (740) 384-7771
Organizations & group practices 1
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.
-
- Home Health Registered Nurse
- Wellston, OH
- NPI 1982544029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774310400000",
"number": "1992292650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1024 S PENNSYLVANIA AVE",
"city": "WELLSTON",
"state": "OH",
"postal_code": "456921703",
"telephone_number": "740-577-5733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1024 S PENNSYLVANIA AVE",
"city": "WELLSTON",
"state": "OH",
"postal_code": "456921703",
"telephone_number": "740-978-8481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMS",
"first_name": "KENDRA",
"middle_name": "K",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-18",
"last_updated": "2026-03-24",
"certification_date": "2026-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "163WA2000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Administrator",
"state": "OH",
"license": "376642",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2864002",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wellston, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.