Carrie L Kirk King
Individual provider Active NPI In Home Supportive Care Agency · Madison, OH
NPI 1295404259 · NPPES record last updated Sep 12, 2021
Key facts
- NPI
- 1295404259
- Entity type
- Individual (NPI type 1)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- Practice address
- 1923 Perth Rd
Madison, OH 44057-1842 - Phone
- (440) 622-7314
- NPI assigned
- Sep 12, 2021
- 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 |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Yes |
Addresses
Primary practice location
1923 Perth Rd
Madison, OH 44057-1842
Mailing address
1923 Perth Rd
Madison, OH 44057-1842
Phone (440) 622-7314
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4303904 | Medicaid | OH |
Other providers in Madison, OH
- Yazan F Karadsheh
- Donna Katko
- Courtney Erissa Kellat
- Jesseca Keller
- Joseph J Kessler Jr.
- Alberta Louise Kirk
- Kist Family Chiropractic & Wellness Centre Inc.
- Charlotte F Kister
- Brittany Knight
- Ryan Marie Knight
All providers in Madison, 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 12, 2021. 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.