Kassandra A Turek
Individual provider Active NPI Home Health Aide · Bloomville, OH
NPI 1245656123 · NPPES record last updated Sep 11, 2020
Key facts
- NPI
- 1245656123
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 58 S Marion St
Bloomville, OH 44818-9201 - Phone
- (567) 230-0017
- Fax
- (419) 983-2711
- NPI assigned
- Mar 15, 2014
- 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
58 S Marion St
Bloomville, OH 44818-9201
Mailing address
58 S Marion St
Bloomville, OH 44818-9201
Phone (567) 230-0017
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104996631899 | Medicaid | OH |
Other providers in Bloomville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2020. 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.