Amanda Lee Iaconelli
Individual provider Active NPI Home Health Aide · Melvindale, MI
NPI 1225880909 · NPPES record last updated Apr 4, 2024
Key facts
- NPI
- 1225880909
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 17145 Wood St
Melvindale, MI 48122-1044 - Phone
- (734) 666-8325
- NPI assigned
- Apr 4, 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
17145 Wood St
Melvindale, MI 48122-1044
Mailing address
17145 Wood St
Melvindale, MI 48122-1044
Phone (734) 666-8325
Other providers in Melvindale, MI
- Great Lakes Medical Transit LLC
- Madison Hassa
- Jessica Hayes
- Nora Amin Hussin
- I Dennis Potocsky DDS PC
- April Jackson
- Hassan Omar Khatib
- Christy King
- Shanique Kitchen
- Marcella Marie Lane
All providers in Melvindale, MI · Home Health Aide in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 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.