Gabrielle Michelle Howard
Individual provider Active NPI Home Health Agency · Lagrange, OH
NPI 1184148249 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1184148249
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Agency 251E00000X
- Practice address
- 277 E Lake Dr
Lagrange, OH 44050-9608 - Phone
- (440) 567-2712
- NPI assigned
- Jul 31, 2017
- 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 |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
277 E Lake Dr
Lagrange, OH 44050-9608
Mailing address
277 E Lake Dr
Lagrange, OH 44050-9608
Phone (440) 567-2712
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0223808 | Medicaid | OH |
Other providers in Lagrange, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 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.