Peter Paul Williams
Individual provider Active NPI In Home Supportive Care Agency · Mantua, OH
NPI 1114533494 · NPPES record last updated Nov 13, 2020
Key facts
- NPI
- 1114533494
- Entity type
- Individual (NPI type 1)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- Practice address
- 3301 Frost Rd
Mantua, OH 44255-9487 - Phone
- (216) 339-9401
- NPI assigned
- Sep 22, 2020
- 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 |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | OH | Yes |
Addresses
Primary practice location
3301 Frost Rd
Mantua, OH 44255-9487
Mailing address
3301 Frost Rd
Mantua, OH 44255-9487
Phone (216) 339-9401
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000274471 | Other | OH | OAKS.STATE.OH.US OHIO SHARED SERVICES |
Other providers in Mantua, OH
- Richard James Vilt
- Emily Claire Voytilla
- Kaitlyn Warakomski
- Steven R Wiggers
- Anne M Williams
- Cynthia Lee Winiarski
- Malinda Winters
- Natalie Wolf
- Larry Workman
All providers in Mantua, OH · In Home Supportive Care Agency in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 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.