Joshua Self
Individual provider Active NPI Personal Care Attendant · Willow Wood, OH
NPI 1194548859 · NPPES record last updated Nov 1, 2024
Key facts
- NPI
- 1194548859
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 556 County Road 13 W
Willow Wood, OH 45696-9024 - Phone
- (740) 643-0808
- NPI assigned
- Nov 1, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
556 County Road 13 W
Willow Wood, OH 45696-9024
Mailing address
556 County Road 13 W
Willow Wood, OH 45696-9024
Phone (740) 643-0808
Other providers in Willow Wood, OH
- Denise Johnson
- Stepheney Leeann Lewis
- Andrea Faye Maddix
- Charles Adam Niece
- Tessa Ray
- Brandi Elizabeth Sentz
- Symmes Valley Local Schools
- Katie Ann Tackett
- Deon Kay Tibbs
All providers in Willow Wood, OH · Personal Care Attendant in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 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.