Stacy Baiden
Individual provider Active NPI Community Health Worker · Austintown, OH
NPI 1073354064 · NPPES record last updated Jun 4, 2024
Key facts
- NPI
- 1073354064
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 5423 Mahoning Ave Ste H
Austintown, OH 44515-2435 - Phone
- (234) 216-7300
- NPI assigned
- Jun 4, 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
5423 Mahoning Ave Ste H
Austintown, OH 44515-2435
Mailing address
1801 Watermark Dr
Columbus, OH 43215-7088
Other providers in Austintown, OH
- Austinwoods Nursing Center Inc
- Aventura at Humility House LLC
- Aventura at Humility House LLC
- Aventura House LLC
- Martina Axelson
- Brittany Bailing
- Jeremy Baker
- Patricia Kay Baker
- Sharita Jo Banks
- Chrystal Baptiste
All providers in Austintown, OH · Community Health Worker in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2024. 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.