JACQUELYN FEDOR
NPI 1740871185
Home Health in Eastlake, OH

Active since January 28, 2021
34830 LAKE SHORE BLVD APT A, EASTLAKE, OH 44095(440) 413-6877 Get Directions Write a Review

NPPES record last updated: January 28, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacquelyn Fedor NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELYN FEDOR (NPI 1740871185) is an individual home health provider in Eastlake, Ohio and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1740871185
Entity TypeIndividualFemale
Primary Taxonomy251E00000X
Provider Legal NameJACQUELYN FEDOR
Location Address34830 LAKE SHORE BLVD APT AEastlake, OH 44095-2026
Mailing Address34830 Lake Shore Blvd Apt AEastlake, OH 44095-2026 · (440) 413-6877
Sole ProprietorYes
Enumeration DateJanuary 28, 2021
NPPES CertifiedJanuary 28, 2021
NPI 1740871185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
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.
34830 LAKE SHORE BLVD APT A, Eastlake, OH 44095

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacquelyn Fedor's NPI number?

The NPI number for Jacquelyn Fedor is 1740871185. It was assigned to this individual provider in the NPPES registry on January 28, 2021.

Where is Jacquelyn Fedor located?

Jacquelyn Fedor practices at 34830 Lake Shore Blvd Apt A, Eastlake, OH 44095. The listed phone number is (440) 413-6877.

What is Jacquelyn Fedor's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Jacquelyn Fedor was last updated on January 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.