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Amy Potillo

Nursing Home Administrator β€’ Maple Heights, OH

Active NPI 1043047608 Individual Practitioner Female Practitioner
Practice location in NPPES

16004 Broadway Ave
Maple Heights, OH 441372575

Call 2162691487 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

16004 Broadway Ave

Maple Heights, OH 441372575

Telephone 2162691487
Organization at the Same NPPES Address or Phone
Star Medical Transportation Inc Facility NPI 1316119266

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Compared with the same specialty in Maple Heights and Ohio

1 active clinicians are listed under Nursing Home Administrator with a practice address in Maple Heights, OH (29 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-12-21
Home Health Primary Specialty

NUCC Taxonomy Code: 251E00000X

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.

Nursing Home Administrator

NUCC Taxonomy Code: 376G00000X

An individual, often licensed by the state, who is responsible for the management of a nursing home.

In Home Supportive Care

NUCC Taxonomy Code: 253Z00000X

An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 21, 2024

Nursing Home Administrator

βœ…
NPI Profile Active September 17, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 17, 2024

Registered at 16004 BROADWAY AVE, MAPLE HEIGHTS, OH 441372575 (Tel: 2162691487)

πŸ“
Business Mailing Address (Initial Record) September 17, 2024

Registered at 13314 CRANWOOD DR, GARFIELD HTS, OH 441056812 (Tel: 2162691487)

πŸ‘€
Provider Name / Credentials (Initial Record) September 17, 2024

Recorded as AMY POTILLO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 17, 2024

In Home Supportive Care

🟒
Initial NPI Registration & Enumeration September 17, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1043047608
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 17, 2024
Last Update: December 21, 2024
Sole Proprietor: Yes

Mailing Address

13314 Cranwood Dr

Garfield Hts, OH 441056812

Phone: 2162691487

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.