Nichole L Michel

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

NPI 1073343497 · NPPES record last updated Aug 2, 2024

Key facts

NPI
1073343497
Entity type
Individual (NPI type 1)
Primary specialty
In Home Supportive Care Agency 253Z00000X
Practice address
304 Valleyview Dr
Huron, OH 44839-2330
Phone
(419) 515-8905
NPI assigned
Aug 2, 2024
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
In Home Supportive Care Agency 253Z00000X Yes

Addresses

Primary practice location

304 Valleyview Dr
Huron, OH 44839-2330

Mailing address

304 Valleyview Dr
Huron, OH 44839-2330
Phone (419) 515-8905

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 2, 2024.

{
    "created_epoch": "1722556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1073343497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 VALLEYVIEW DR",
            "city": "HURON",
            "state": "OH",
            "postal_code": "448392330",
            "telephone_number": "419-515-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 VALLEYVIEW DR",
            "city": "HURON",
            "state": "OH",
            "postal_code": "448392330",
            "telephone_number": "419-515-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHEL",
        "first_name": "NICHOLE",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-02",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huron, OH

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

Sources for this page

Verify at the official NPI Registry.