Tonya R Bellingham

Individual provider Active NPI Personal Care Attendant · Mount Orab, OH

NPI 1083201818 · NPPES record last updated Dec 28, 2020

Key facts

NPI
1083201818
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
License
0801604 (OH)
Practice address
13055 New Harmony Shiloh Rd
Mount Orab, OH 45154-9168
Phone
(937) 822-1495
NPI assigned
Dec 28, 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

State licenses

LicenseStateTypeSpecialty
0801604OHMDHomemaker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X 0801604 OH
Homemaker 376J00000X 0801604 OH
Personal Care Attendant 3747P1801X 0801604 OH Yes

Addresses

Primary practice location

13055 New Harmony Shiloh Rd
Mount Orab, OH 45154-9168

Mailing address

13055 New Harmony Shiloh Rd
Mount Orab, OH 45154-9168
Phone (937) 822-1495

Other identifiers

IdentifierTypeStateIssuer
0265253MedicaidOH

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL HPC_IP_DD@yahoo.com

Other providers in Mount Orab, OH

All providers in Mount Orab, OH · Personal Care Attendant in Ohio

Sources for this page

Verify at the official NPI Registry.