Mary Ann Leadbeater
Individual provider Active NPI Home Health Agency · Smithfield, PA
NPI 1194063545 · NPPES record last updated Jan 18, 2013
Key facts
- NPI
- 1194063545
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 11313601 (PA)
- Practice address
- 385 Smithfield Highhouse Rd
Smithfield, PA 15478-1237 - Phone
- (724) 710-8885
- Fax
- (724) 569-1068
- NPI assigned
- Jan 18, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| 11313601 | PA | MD | Home Health Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guardian Angels Home Care | Home Health | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 11313601 | PA | Yes |
Addresses
Primary practice location
385 Smithfield Highhouse Rd
Smithfield, PA 15478-1237
Mailing address
385 Smithfield Highhouse Rd
Smithfield, PA 15478-1237
Phone (724) 710-8885
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11313601 | Other | PA | CERTIFICATE OF LICENSURE |
Other providers in Smithfield, PA
- J and H Home Medical
- James E Lynn
- Jeans Loving Home Care
- Mary Joseph
- Cynthia Kalina Kurosky
- Joanne Christina Lewis
- Regina Lynn Lewis
- Jenna Luczka
- Ashley Marie Ludwig
- James Edwin Lynn
All providers in Smithfield, PA · Home Health Agency in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2013. 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.