Andrea Lynn Grow
Individual provider Active NPI In Home Supportive Care Agency · Cable, OH
NPI 1023615895 · NPPES record last updated Oct 5, 2020
Key facts
- NPI
- 1023615895
- Entity type
- Individual (NPI type 1)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- Practice address
- 4525 Flatfoot Rd
Cable, OH 43009-9741 - Phone
- (937) 418-7164
- NPI assigned
- Oct 5, 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Art Therapist | 221700000X | |||
| Home Health Agency | 251E00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Yes |
Addresses
Primary practice location
4525 Flatfoot Rd
Cable, OH 43009-9741
Mailing address
4525 Flatfoot Rd
Cable, OH 43009-9741
Phone (937) 418-7164
Other providers in Cable, OH
- Christine Burton
- Paul Burton
- Emily Dixon
- Kimberly Lynne Dunn
- Maribeth Gregg
- April Lemasters
- Ashlee Lyons
- Brandy Lynn McDonald
- Molly McGuire
- Richard Bradley Selby
All providers in Cable, OH · In Home Supportive Care Agency in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2020. 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.