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Deactivated NPI 1437623162 Deactivated / Inactive NPI Female Practitioner

Angenette Holiness

Chore Provider • Euclid, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Angenette Holiness has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 16, 2019
NPI Deactivation Date December 01, 2020
Total Practice Duration ~1 Years of Practice (2019 – 2020)

Professional Overview & Biography Verified Profile Summary

Angenette Holiness was a registered Chore Provider practicing in Euclid, OH. Throughout an active medical career spanning 1 years, Angenette Holiness provided care at the practice location at 22000 BALL AVE until profile deactivation on 2020-12-01.

Practice Location & Contact Primary Location

Practice Address

22000 Ball Ave

Euclid, OH 441232706

Telephone 2162003821
Associated Practice Facility / Clinic
🏢 1 Of One Loving Care Facility NPI 1154290021

Specialty Benchmarks & Practice Insights

Comparative analytics for Chore Provider in Euclid, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
8 Specialists

Practicing in Euclid, OH (238 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-11-29
Chore Provider Primary Specialty

NUCC Taxonomy Code: 372500000X

An individual who provides home maintenance services required to sustain a safe, sanitary living environment for individuals who because of age or disabilities is unable to perform the activities. These services include heavy household chores such as washing floors, windows, and walls; tacking down loose rugs and tiles; and moving heavy items of furniture in order to provide safe access and egress.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0323147 (OH)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location November 29, 2022

Registered at 22000 BALL AVE, EUCLID, OH 441232706 (Tel: 2162003821)

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Updated Business Mailing Address November 29, 2022

Registered at 22000 BALL AVE, EUCLID, OH 441232706 (Tel: 2162003821)

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Provider Name / Credentials Updated November 29, 2022

Recorded as ANGENETTE HOLINESS

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 29, 2022

Chore Provider

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NPI Profile Deactivated December 01, 2020

Record deactivated on December 01, 2020

NPI Profile Active January 16, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location January 16, 2019

Registered at 22000 BALL AVE, EUCLID, OH 441232706 (Tel: 2162003821)

📍
Updated Business Mailing Address January 16, 2019

Registered at 22000 BALL AVE, EUCLID, OH 441232706 (Tel: 2162003821)

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Provider Name / Credentials Updated January 16, 2019

Recorded as ANGENETTE HOLINESS

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 16, 2019

Chore Provider

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Initial NPI Registration & Enumeration January 16, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1437623162
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 16, 2019
Last Update: November 29, 2022
Deactivation Date: December 01, 2020
Sole Proprietor: No

Mailing Address

22000 Ball Ave

Euclid, OH 441232706

Phone: 2162003821

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.