Annie Alissa Makula
Individual provider Active NPI Home Health Aide · Rudolph, OH
NPI 1386418374 · NPPES record last updated Nov 9, 2023
Key facts
- NPI
- 1386418374
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 14025 Defiance Pike
Rudolph, OH 43462-9718 - Phone
- (419) 601-8244
- NPI assigned
- Nov 9, 2023
- 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 | Yes |
Addresses
Primary practice location
14025 Defiance Pike
Rudolph, OH 43462-9718
Mailing address
14025 Defiance Pike
Rudolph, OH 43462-9718
Phone (419) 601-8244
Other providers in Rudolph, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2023. 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.