MRS. MATTIE VINCENTNETTA STREET PATIENT CARE ASSOCIA
NPI 1730731597
Home Health in Columbus, OH
- Individual
- Female
- Home Health
About MATTIE STREET
This page provides the complete NPI Profile along with additional information for Mattie Street, a provider established in Columbus, Ohio with a medical specialization in Home Health. The healthcare provider is registered in the NPI registry with number 1730731597 assigned on July 2019. The practitioner's primary taxonomy code is 251E00000X. The provider is registered as an individual and her NPI record was last updated 7 years ago.
- NPI
- 1730731597 Verify this NPI
- Provider Name
- MRS. MATTIE VINCENTNETTA STREET PATIENT CARE ASSOCIA
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 762 CONESTOGA DR COLUMBUS, OH 43213
- Location Phone
- (614) 272-4009
- Mailing Address
- 1773 LATTIMER DR COLUMBUS, OH 43227
- Mailing Phone
- (614) 604-2435
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-11-2019
- Last Update Date
- 07-11-2019
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Home Health
- Taxonomy Code
- 251E00000X
- Type
- Agencies
- Taxonomy Description
- A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 172V00000X | Other Service Providers | Community Health Worker | CHW.001230 (OH) |
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Other Providers at the Same Location
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1730731597, enumerated as an "individual" on July 11, 2019.
The provider is located at 762 CONESTOGA DR COLUMBUS, OH 43213 and the phone number is (614) 272-4009.
Home Health with taxonomy code 251E00000X.
