Noah T Smith

Individual provider Active NPI In Home Supportive Care Agency · Atwater, OH

NPI 1336779339 · NPPES record last updated Jan 19, 2020

Key facts

NPI
1336779339
Entity type
Individual (NPI type 1)
Primary specialty
In Home Supportive Care Agency 253Z00000X
Practice address
788 Horning Rd
Atwater, OH 44201-9790
Phone
(330) 604-3372
NPI assigned
Jan 19, 2020
Sex
Male
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)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Yes

Addresses

Primary practice location

788 Horning Rd
Atwater, OH 44201-9790

Mailing address

788 Horning Rd
Atwater, OH 44201-9790
Phone (330) 604-3372

Other providers in Atwater, OH

All providers in Atwater, OH · In Home Supportive Care Agency in Ohio

Sources for this page

Verify at the official NPI Registry.