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ERIC JOHNSON NPI 1073114773


NPI Information

NPI: 1073114773
Provider Name: ERIC JOHNSON
Classification: Homemaker - 376J00000X
Entity Type: Individual
Address:
283 GRANDVIEW AVE
WADSWORTH, OH
ZIP 44281
Phone: (330) 391-1308
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Eric Johnson is a homemaker in Wadsworth, OH. The provider is an individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards. Eric Johnson NPI is 1073114773. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

283 GRANDVIEW AVE
WADSWORTH, OH
ZIP 44281-160
Phone: (330) 391-1308

The enumeration date for this NPI number is 11/8/2020 and was last updated on 11/13/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1376J00000XHomemakerSR793116OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15213889MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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