Kristie Boso
Individual provider Active NPI Home Health Aide · Salem, OH
NPI 1114747367 · NPPES record last updated Oct 14, 2024
Key facts
- NPI
- 1114747367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 615 Jefferson Ave
Salem, OH 44460-3327 - Phone
- (330) 853-0061
- NPI assigned
- Oct 14, 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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Yes |
Addresses
Primary practice location
615 Jefferson Ave
Salem, OH 44460-3327
Mailing address
615 Jefferson Ave
Salem, OH 44460-3327
Phone (330) 853-0061
Other providers in Salem, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 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.