Angel Mae Bennett
Individual provider Active NPI Personal Care Attendant · Jewett, OH
NPI 1124759014 · NPPES record last updated Jun 21, 2022
Key facts
- NPI
- 1124759014
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- License
- 0000305268 (OH)
- Practice address
- 87001 Couch Rd
Jewett, OH 43986-8778 - Phone
- (740) 491-0979
- NPI assigned
- Jun 21, 2022
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000305268 | OH | MD | Personal Care Attendant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | 0000305268 | OH | Yes |
Addresses
Primary practice location
87001 Couch Rd
Jewett, OH 43986-8778
Mailing address
87001 Couch Rd
Jewett, OH 43986-8778
Phone (740) 491-0979
Other providers in Jewett, OH
All providers in Jewett, 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 Jun 21, 2022. 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.