Penny Marie Good, CNA
Individual provider Active NPI Home Health Aide · Luray, VA
NPI 1003184516 · NPPES record last updated Dec 12, 2011
Key facts
- NPI
- 1003184516
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- License
- 1401135973 (VA)
- Practice address
- 532 W Main St
Luray, VA 22835-1027 - Phone
- (540) 244-5509
- NPI assigned
- Dec 12, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1401135973 | VA | MD | Home Health Aide |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 1401135973 | VA | Yes |
Addresses
Primary practice location
532 W Main St
Luray, VA 22835-1027
Mailing address
532 W Main St
Luray, VA 22835-1027
Phone (540) 244-5509
Other providers in Luray, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.