Jody Stevens
Individual provider Active NPI Personal Care Attendant · Mount Perry, OH
NPI 1013320944 · NPPES record last updated Jun 9, 2014
Key facts
- NPI
- 1013320944
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- License
- RG136689 (OH)
- Practice address
- 6460 Kroft Rd
Mount Perry, OH 43760-9707 - Phone
- (740) 644-6958
- NPI assigned
- Jun 9, 2014
- 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 |
|---|---|---|---|
| RG136689 | OH | MD | Personal Care Attendant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | RG136689 | OH | Yes |
| Homemaker | 376J00000X | RG136689 | OH |
Addresses
Primary practice location
6460 Kroft Rd
Mount Perry, OH 43760-9707
Mailing address
6460 Kroft Rd
Mount Perry, OH 43760-9707
Phone (740) 644-6958
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0099693 | Medicaid | OH | |
| 0099693 | Other | OH | LV1 |
Other providers in Mount Perry, OH
All providers in Mount Perry, 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 Jun 9, 2014. 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.