Judith A Bloom
Individual provider Active NPI Personal Care Attendant · Amherst, OH
NPI 1104412097 · NPPES record last updated Dec 15, 2020
Key facts
- NPI
- 1104412097
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 706 Oakhurst Dr
Amherst, OH 44001-1057 - Phone
- (440) 984-2288
- NPI assigned
- Dec 15, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
706 Oakhurst Dr
Amherst, OH 44001-1057
Mailing address
706 Oakhurst Dr
Amherst, OH 44001-1057
Phone (440) 984-2288
Other providers in Amherst, OH
- Matthew Bennett
- Laura Berthold
- George Michael Bescak
- Mark L Biczykowski
- Erin Ashley Blake
- Sarah Marie Bloom
- Lynn A Bolenbaugh
- Marcella Bowden
- Wayne Brabender
- Casey Elizabeth Brown
All providers in Amherst, OH · Personal Care Attendant in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 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.