Maya Mendoza
Individual provider Active NPI In Home Supportive Care Agency · Rittman, OH
NPI 1265048995 · NPPES record last updated Sep 18, 2020
Key facts
- NPI
- 1265048995
- Entity type
- Individual (NPI type 1)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- Practice address
- 512 Oliver Way
Rittman, OH 44270-2015 - Phone
- (330) 603-3283
- NPI assigned
- Sep 18, 2020
- 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 | |||
| In Home Supportive Care Agency | 253Z00000X | Yes |
Addresses
Primary practice location
512 Oliver Way
Rittman, OH 44270-2015
Mailing address
512 Oliver Way
Rittman, OH 44270-2015
Phone (330) 603-3283
Other providers in Rittman, OH
- Allison Dawn Lotter
- Jessica Maibach
- Darilee McGregor
- Linda Meadows
- Medical Center of Rittman Inc
- Shawn Glen Mills
- Mary F Mollison
- Lori Jean Moomaw
- Northern Health Facilities, Inc.
- Christine L O'Hara
All providers in Rittman, OH · In Home Supportive Care Agency in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 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.