Brittney Renee Fantom
Individual provider Active NPI Home Health Aide · Cleveland, NY
NPI 1154882751 · NPPES record last updated Mar 27, 2019
Key facts
- NPI
- 1154882751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 199 Center St
Cleveland, NY 13042-3155 - Phone
- (315) 243-0024
- NPI assigned
- Mar 27, 2019
- Sex
- Female
- Sole proprietor
- No
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 | NY | Yes |
Addresses
Primary practice location
199 Center St
Cleveland, NY 13042-3155
Mailing address
199 Center St
Cleveland, NY 13042-3155
Phone (315) 243-0024
Other providers in Cleveland, NY
- Paul L Cote II
- Maryellen Ann Davison
- Syeda Zahra Batool Gardezi
- Jo Ann Elizabeth Marsala-Goettel
- Lisa Lynn Miller
- Kevin Montross
- Chance Nickerson
All providers in Cleveland, NY · Home Health Aide in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2019. 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.