Amanda Meade

Individual provider Active NPI Personal Care Attendant · Marengo, OH

NPI 1164091450 · NPPES record last updated Jun 21, 2021

Key facts

NPI
1164091450
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
550 Township Road 208
Marengo, OH 43334-9618
Phone
(614) 381-6333
NPI assigned
Jun 21, 2021
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)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

550 Township Road 208
Marengo, OH 43334-9618

Mailing address

550 Township Road 208
Marengo, OH 43334-9618
Phone (614) 381-6333

Other identifiers

IdentifierTypeStateIssuer
0414737MedicaidOH

Electronic endpoints

TypeEndpointUseAffiliation
Other URL Home

Other providers in Marengo, OH

All providers in Marengo, OH · Personal Care Attendant in Ohio

Sources for this page

Verify at the official NPI Registry.