Irvin Cruz
Individual provider Active NPI Personal Care Attendant · Maineville, OH
NPI 1104589779 · NPPES record last updated Oct 20, 2021
Key facts
- NPI
- 1104589779
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 487 Willow Pond Blvd Apt 104
Maineville, OH 45039-7092 - Phone
- (513) 537-0433
- NPI assigned
- Oct 20, 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 |
|---|---|---|---|---|
| Driver | 172A00000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | |||
| Homemaker | 376J00000X | |||
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
487 Willow Pond Blvd Apt 104
Maineville, OH 45039-7092
Mailing address
487 Willow Pond Blvd Apt 104
Maineville, OH 45039-7092
Phone (513) 537-0433
Other providers in Maineville, OH
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- Lilly Coy
- Krista Crum
- Crutchfield Dental Group LLC
- Carlsie Lynnette Crutchfield
- Damron Chiropractic & Wellness
- Andrew Nicholas Damron
- Colton Damron
- Deborah Ann Daniel
- Katherine Daniels
All providers in Maineville, 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 Oct 20, 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.