Joseph Elsaesser
Individual provider Active NPI In Home Supportive Care Agency · Chippewa Lake, OH
NPI 1063184331 · NPPES record last updated Oct 4, 2021
Key facts
- NPI
- 1063184331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- Practice address
- 54 Willowwood Dr
Chippewa Lake, OH 44215-9643 - Phone
- (330) 401-5759
- NPI assigned
- Oct 4, 2021
- 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 |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Yes |
Addresses
Primary practice location
54 Willowwood Dr
Chippewa Lake, OH 44215-9643
Mailing address
54 Willowwood Dr
Chippewa Lake, OH 44215-9643
Phone (330) 401-5759
Other providers in Chippewa Lake, OH
- Susan Marie Arceneaux
- Emily Berger
- Lachae Marie Brown
- Taleah Brown
- Dennis J. Custer
- Shaye Joeonna Elsaesser
- Ryan Gratzer
- Diamond Hannahs
- Villie A Hayes
- Hannah J Hornung
All providers in Chippewa Lake, 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 4, 2021. 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.