Linda Ann Bragg
Individual provider Active NPI Personal Care Attendant · Diamond, OH
NPI 1124620968 · NPPES record last updated Nov 16, 2020
Key facts
- NPI
- 1124620968
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 2887 Wayland Rd
Diamond, OH 44412-9726 - Phone
- (330) 654-3749
- Fax
- (330) 654-3749
- NPI assigned
- Nov 16, 2020
- 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 |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
2887 Wayland Rd
Diamond, OH 44412-9726
Mailing address
2887 Wayland Rd
Diamond, OH 44412-9726
Phone (330) 654-3749
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6702474 | Medicaid | OH |
Other providers in Diamond, OH
All providers in Diamond, 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 Nov 16, 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.