Reshma Dilipkumar Patel, COTA

Individual provider Active NPI Home Health Agency · Trinity, NC

NPI 1235522251 · NPPES record last updated Mar 16, 2015

Key facts

NPI
1235522251
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Agency 251E00000X
License
7879 (NC)
Practice address
6406 Derby Way
Trinity, NC 27370-7781
Phone
(336) 471-3227
NPI assigned
Mar 16, 2015
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

State licenses

LicenseStateTypeSpecialty
7879NCMDCommunity Health Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X 7879 NC
Early Intervention Provider Agency 252Y00000X 7879 NC
Home Health Agency 251E00000X 7879 NC Yes
Rehabilitation Hospital Unit 273Y00000X 7879 NC

Addresses

Primary practice location

6406 Derby Way
Trinity, NC 27370-7781

Mailing address

6406 Derby Way
Trinity, NC 27370-7781
Phone (336) 471-3227

Other providers in Trinity, NC

All providers in Trinity, NC · Home Health Agency in North Carolina

Sources for this page

Verify at the official NPI Registry.