Amanda M Anderson
Individual provider Active NPI Personal Care Attendant · Ashtabula, OH
NPI 1386794972 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1386794972
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 1142 E 15TH St
Ashtabula, OH 44004-3628 - Phone
- (440) 964-3013
- NPI assigned
- Jan 12, 2007
- 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 |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
1142 E 15TH St
Ashtabula, OH 44004-3628
Mailing address
1142 E 15TH St
Ashtabula, OH 44004-3628
Phone (440) 964-3013
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2654337 | Medicaid | OH |
Other providers in Ashtabula, OH
- Aloha Hands Bodyworks LLC
- Gloria Jean Altonen
- Amanda K. Brace, LLC
- American Hearing Centers, Inc.
- Brittany Leighann Andersen
- Jessica Lynn Anderson
- Sherri L Anderson
- Anesthesia Consultants, Inc
- Anil G Patel MD Inc
- Ashley Anthony
All providers in Ashtabula, OH · Personal Care Attendant in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.