Jaime Greene
Individual provider Active NPI In Home Supportive Care Agency · Avon Lake, OH
NPI 1144075417 · NPPES record last updated Apr 20, 2024
Key facts
- NPI
- 1144075417
- Entity type
- Individual (NPI type 1)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- Practice address
- 216 Moore Rd Apt 3V
Avon Lake, OH 44012-1246 - Phone
- (440) 752-7167
- NPI assigned
- Apr 20, 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 |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Yes |
Addresses
Primary practice location
216 Moore Rd Apt 3V
Avon Lake, OH 44012-1246
Mailing address
216 Moore Rd Apt 3V
Avon Lake, OH 44012-1246
Phone (440) 752-7167
Other providers in Avon Lake, OH
- Samantha Marie Goodwin
- Emily Goss
- Mark David Gould
- Abigail Green
- Alexander Elijah Greene
- Audrey Greenrod
- Joan Maria Grospitch
- Haidar Almhana and Nieding LLC
- Robin M Hale
- Lisa Harasimchuk
All providers in Avon Lake, 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 Apr 20, 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.