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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
11313601PAMDHome Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Guardian Angels Home Care Home Health Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
11313601OtherPACERTIFICATE OF LICENSURE

Other providers in Smithfield, PA

All providers in Smithfield, PA · Home Health Agency in Pennsylvania

Sources for this page

Verify at the official NPI Registry.