Shanieah Simone Banks

Individual provider Active NPI Personal Care Attendant · Greenfield, WI

NPI 1346972643 · NPPES record last updated Jun 27, 2022

Key facts

NPI
1346972643
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
11361 W Peregrine Way
Greenfield, WI 53228-3151
Phone
(414) 213-4956
NPI assigned
Jun 27, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
S&S Home Health Care LLC Current
since Sep 25, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

11361 W Peregrine Way
Greenfield, WI 53228-3151

Mailing address

11361 W Peregrine Way
Greenfield, WI 53228-3151
Phone (414) 213-4956

Other providers in Greenfield, WI

All providers in Greenfield, WI · Personal Care Attendant in Wisconsin

Sources for this page

Verify at the official NPI Registry.