Individual provider Active NPI

Justin D Patterson

  • Driver
  • Youngstown, OH
National Provider Identifier
1992424014
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
Practice address
361 W Indianola Ave
Youngstown, OH 44511-2452
Phone
(330) 568-4098
Fax
(330) 568-4162
NPI assigned
Aug 23, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X OH Primary

Addresses

Primary practice location

361 W Indianola Ave
Youngstown, OH 44511-2452

Mailing address

361 W Indianola Ave
Youngstown, OH 44511-2452
Phone (330) 568-4098

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address transportation@reallovingcare.org Direct
CONNECT URL https://reallovingcare.org/ Direct

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anchor Care Solutions Inc Current Accepting new patients
Real Loving Care Transportation Services LLC Current Accepting new patients

Locations

361 W Indianola Ave
Youngstown, OH 44511
Phone (234) 855-0044

Organizations & group practices 2

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": "1661212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1992424014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 W INDIANOLA AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445112452",
            "telephone_number": "330-568-4098",
            "fax_number": "330-568-4162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 W INDIANOLA AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445112452",
            "telephone_number": "330-568-4098",
            "fax_number": "330-568-4162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "JUSTIN",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "transportation@reallovingcare.org",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email Direct message",
            "address_1": "361 W Indianola Ave",
            "city": "Youngstown",
            "state": "OH",
            "country_code": "US",
            "postal_code": "445112452",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://reallovingcare.org/",
            "affiliation": "N",
            "endpointDescription": "Web Page",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Web",
            "address_1": "361 W Indianola Ave",
            "city": "Youngstown",
            "state": "OH",
            "country_code": "US",
            "postal_code": "445112452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.