CMS-1500 Box 24J / 33a • NPI
1952449886
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
374U00000X
CMS-Certified Home Health Care & Skilled Nursing Agency
Box 32 Service Location & ZIP+4
4071 LAKE RD LOT 32, CONNEAUT, OH, 44030-3601
✓ 9-Digit EDI 837 ZIP+4 (44030-3601)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1952449886 (MARY IRENA CORNELIUS, nureseaide) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1952449886 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | MARY IRENA CORNELIUS, nureseaide |
| Plain-English Specialty | CMS-Certified Home Health Care & Skilled Nursing Agency NUCC Code: 374U00000X (Home Health Aide) |
| Certifying / Licensing Body | CMS Home Health Conditions of Participation / CHAP / ACHC |
| Practice Location Address | 4071 LAKE RD LOT 32, CONNEAUT, OH, 44030-3601 |
| Practice Telephone / Fax | Tel: (440) 599-8917 |
| Administrative Mailing Address | 4071 LAKE RD LOT 32, CONNEAUT, OH, 44030-3601 |
| Enumeration & Last Sync | Enumerated: 2007-02-02 | CMS Record Updated: 2007-07-08 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (374U00000X)
What Does Taxonomy Code 374U00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 374U00000X translates to:
"CMS-Certified Home Health Care & Skilled Nursing Agency"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (MARY IRENA CORNELIUS, nureseaide)
Typical CPT / Diagnostic Procedures:- In-Home Skilled Nursing Wound Care, Ostomy & Catheter Management
- Home Intravenous Antibiotic Infusion (OPAT) & Post-Stroke Rehabilitation
- Home Infusion Antimicrobials, Anticoagulants & Insulin Titration
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
374U00000X — Home Health AidePlain English: CMS-Certified Home Health Care & Skilled Nursing Agency | State: OH | License: 2386136 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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