Khaaron Michael Watkins
Individual provider Active NPI Home Health Aide · Middle Township, NJ
NPI 1114763141 · NPPES record last updated Jul 9, 2024
Key facts
- NPI
- 1114763141
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 2008 South Route 9
Middle Township, NJ 08252 - Phone
- (202) 819-7059
- NPI assigned
- Jul 9, 2024
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chosen Path Health Group Inc | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Yes |
Addresses
Primary practice location
2008 South Route 9
Middle Township, NJ 08252
Mailing address
2002 Rte 9 South
PO Box 437
Cape May Court House, NJ 08252
Phone (202) 819-7059
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 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.