Madelynmarie Hairston, EMT, STNA, MA
Individual provider Active NPI Home Health Agency · Beloit, OH
NPI 1366964686 · NPPES record last updated Jul 31, 2024
Key facts
- NPI
- 1366964686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 400685041107 (OH)
- Practice address
- 3967 North St Ste B
Beloit, OH 44609-9473 - Phone
- (330) 581-3740
- NPI assigned
- Jul 7, 2017
- 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
- Credentials
- Emergency Medical Technician, Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 400685041107 | OH | MD | Home Health Agency |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 400685041107 | OH | Yes |
Addresses
Primary practice location
3967 North St Ste B
Beloit, OH 44609-9473
Mailing address
3967 North St Ste B
Beloit, OH 44609-9473
Phone (330) 581-3740
Other providers in Beloit, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2024. 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.