AETNA PROVIDER SERVICE (NPI# 1770972143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770972143 |
| Entity Type | Organization |
| Organization Name | AETNA PROVIDER SERVICE |
| Practice Address |
8514 Arlen Drive Blacklick OH 43004 |
| Mailing Address |
8514 Arlen Dr Blacklick OH 43004-8155 |
| Practice Telephone | 6149465475 |
| Mailing Telephone | 6149465475 |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2015-01-22 |
| Authorized Official Name | MEMUNATU SHERIFF (INDEPENDENT PROVIDER) |
| Authorized Official Telephone | 6149465475 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | 2366658 | OH | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2366658 | 05 |
| Street Address |
8514 ARLEN DRIVE |
| City | BLACKLICK |
| State | OH |
| Zip Code | 43004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053919191 | Deborah Byrd | Homemaker | 1571 Morrison Farms Dr, Blacklick, OH 43004 | 2020-10-12 |
| 1477106706 | Star of The East Home Health Agency | Home Health | 634 Streamwater Dr, Blacklick, OH 43004 | 2019-07-16 |
| 1568965689 | Amerti Mekonnen Terefe | Registered Nurse | 579 Altona Drive, Blacklick, OH 43004 | 2018-03-15 |
| 1134643471 | Gahanna Home Healthcare Agency, LLC | Private Vehicle | 7451 Bunker Ridge Ct, Blacklick, OH 43004 | 2017-07-28 |
| 1295134666 | Elisee Ndenga | Contractor | 442 Stone Shadow Dr, Blacklick, OH 43004 | 2014-08-21 |
| 1215368121 | Stacia Barnhill | Home Health Aide | 215 Bexhill Dr, Blacklick, OH 43004 | 2013-12-02 |
| 1720328016 | Roland Lovinsky | Licensed Practical Nurse | 7795 Worley Drive, Blacklick, OH 43004 | 2013-02-22 |
| 1477815892 | Kingsley Eyong Enow | Licensed Practical Nurse | 301 Heatherbridge Lane, 301 Heatherbridge Lane, Blacklick, OH 43004 | 2012-06-12 |
| 1013208271 | Wilberforce Eric Okotah | Licensed Practical Nurse | 7928 Waggoner Trace Drive, Blacklick, OH 43004 | 2011-04-22 |
| 1770881229 | Havens Urgent Care | Clinic/Center | 1582 Waggoner Rd, Blacklick, OH 43004 | 2011-03-08 |
| Find all providers in zip 43004 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225543663 | Caregivers of Central Ohio, LLC | In Home Supportive Care | 8121 Trailhawk Dr, Blacklick, OH 43004-7187 | 2017-12-07 |
| 1245687680 | Wish You Were Here Home Care, Inc. | In Home Supportive Care | 718 Reynoldsburg New Albany Rd, Blacklick, OH 43004-9690 | 2016-05-16 |
| 1154764140 | Childspring | In Home Supportive Care | 550 Tourmaline Dr, Blacklick, OH 43004-8214 | 2013-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366387 | Yvonne Zachery | In Home Supportive Care | 2830 Lacresta Dr., Beavercreek, OH 45431-8909 | 2020-11-06 |
| 1548861453 | Mary Diane Miller | In Home Supportive Care | 16850 Highland Ave, Caldwell, OH 43724-9655 | 2020-11-06 |
| 1366043143 | Susan Ann Williams | In Home Supportive Care | 3730 Bean Oller Rd, Delaware, OH 43015-9283 | 2020-11-06 |
| 1619578796 | Cindy Jo Alwine | In Home Supportive Care | 452 Woodland Dr, Shadyside, OH 43947-1199 | 2020-11-04 |
| 1194326272 | Margaret Engelhard | In Home Supportive Care | 8773 Creekwood Dr, Maineville, OH 45039-8206 | 2020-11-04 |
| 1154922532 | Rita Ann Beck | In Home Supportive Care | 212 Harbel Dr, Saint Clairsville, OH 43950-1043 | 2020-11-03 |
| 1588265888 | Michelle Yvonne Low | In Home Supportive Care | 774 Humble Rd, Tallmadge, OH 44278-3133 | 2020-11-03 |
| 1740881002 | Laurie Ann Galownia | In Home Supportive Care | 146 N Sugar St, Saint Clairsville, OH 43950-1328 | 2020-11-03 |
| 1649871096 | Martha Jane Nix | In Home Supportive Care | 464 Oxford Ave, Akron, OH 44310-3354 | 2020-11-03 |
| 1316548829 | Raquel Covington | In Home Supportive Care | 1629 Greenlawn Ave, Akron, OH 44301-2743 | 2020-11-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.