Beverly Tebbe

Individual provider Active NPI In Home Supportive Care Agency · Minster, OH

NPI 1013523232 · NPPES record last updated Sep 22, 2020

Key facts

NPI
1013523232
Entity type
Individual (NPI type 1)
Primary specialty
In Home Supportive Care Agency 253Z00000X
Practice address
450 W 7TH St
Minster, OH 45865-1084
Phone
(937) 638-0510
NPI assigned
Sep 22, 2020
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Private Vehicle 347C00000X OH
Personal Care Attendant 3747P1801X OH
In Home Supportive Care Agency 253Z00000X OH Yes

Addresses

Primary practice location

450 W 7TH St
Minster, OH 45865-1084

Mailing address

450 W 7TH St
Minster, OH 45865-1084
Phone (937) 638-0510

Other providers in Minster, OH

All providers in Minster, OH · In Home Supportive Care Agency in Ohio

Sources for this page

Verify at the official NPI Registry.