Kristie Grimes

Individual provider Active NPI Personal Care Attendant · Bidwell, OH

NPI 1417823337 · NPPES record last updated Oct 16, 2025

Key facts

NPI
1417823337
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
1598 Africa Rd
Bidwell, OH 45614-9430
Phone
(740) 208-8419
NPI assigned
Oct 16, 2025
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)CodeLicenseStatePrimary
Personal Care Attendant
Group: 193400000X SINGLE SPECIALTY GROUP
3747P1801X Yes

Addresses

Primary practice location

1598 Africa Rd
Bidwell, OH 45614-9430

Mailing address

1598 Africa Rd
Bidwell, OH 45614-9430
Phone (740) 208-8419

Other providers in Bidwell, OH

All providers in Bidwell, OH · Personal Care Attendant in Ohio

Sources for this page

Verify at the official NPI Registry.