Matthew Thomas Cousin
Individual provider Active NPI Personal Care Attendant · Smithville, OH
NPI 1003675596 · NPPES record last updated Mar 18, 2024
Key facts
- NPI
- 1003675596
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 6144 Applecreek Rd
Smithville, OH 44677-9720 - Phone
- (330) 988-0046
- NPI assigned
- Mar 18, 2024
- Sex
- Male
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
6144 Applecreek Rd
Smithville, OH 44677-9720
Mailing address
6144 Applecreek Rd
Smithville, OH 44677-9720
Phone (330) 988-0046
Other providers in Smithville, OH
- Thomas H Boreman
- Karen Katherin Burkey
- Central Fire District
- Tara Dayton
- Meredith K Denges
- Breanne Fatzinger
- Brooke Fatzinger
- Green Local Schools
All providers in Smithville, OH · Personal Care Attendant in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2024. 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.