Tammy Jeanine Gray
Individual provider Active NPI In Home Supportive Care Agency · West Alexandria, OH
NPI 1033710686 · NPPES record last updated Nov 2, 2020
Key facts
- NPI
- 1033710686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- Practice address
- 7878 E Factory Rd
West Alexandria, OH 45381-9509 - Phone
- (937) 529-1438
- NPI assigned
- Nov 2, 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 |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Yes |
Addresses
Primary practice location
7878 E Factory Rd
West Alexandria, OH 45381-9509
Mailing address
7878 E Factory Rd
West Alexandria, OH 45381-9509
Phone (937) 529-1438
Other providers in West Alexandria, OH
- Hannah B. Castillo
- Leslii J Day
- Allison Gisewite
- Miranda Goforth
- James Gonnella
- Angela K Grilliott
- Grant Leo Auhn Hale
- Jacquelyn Marie Hall
- Lisa Henderson
- Lydia J Henderson
All providers in West Alexandria, 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 Nov 2, 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.