Christina N Bistransky
Individual provider Active NPI Home Health Aide · Lakewood, OH
NPI 1194532309 · NPPES record last updated Dec 12, 2024
Key facts
- NPI
- 1194532309
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 11811 Lake Ave Apt 907
Lakewood, OH 44107-1857 - Phone
- (330) 958-2148
- NPI assigned
- Dec 12, 2024
- 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 Aide | 374U00000X | Yes |
Addresses
Primary practice location
11811 Lake Ave Apt 907
Lakewood, OH 44107-1857
Mailing address
11811 Lake Ave Apt 907
Lakewood, OH 44107-1857
Phone (330) 958-2148
Other providers in Lakewood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2024. 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.