Elizabeth Demetric Austin
Individual provider Active NPI Home Health Aide · Lima, OH
NPI 1407308299 · NPPES record last updated Oct 27, 2016
Key facts
- NPI
- 1407308299
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- License
- 400334360304 (OH)
- Practice address
- 1855 N Cole St
Apt 15
Lima, OH 45801-2400 - Phone
- (419) 230-5711
- NPI assigned
- Oct 27, 2016
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 400334360304 | OH | MD | Home Health Aide |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 400334360304 | OH | Yes |
Addresses
Primary practice location
1855 N Cole St
Apt 15
Lima, OH 45801-2400
Mailing address
1855 N Cole St
Apt 15
Lima, OH 45801-2400
Phone (419) 230-5711
Other providers in Lima, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2016. 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.