Joseph Luke Rivera
Individual provider Active NPI Personal Care Attendant · Mulvane, KS
NPI 1457785248 · NPPES record last updated Aug 28, 2013
Key facts
- NPI
- 1457785248
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 510 S College Ave
Mulvane, KS 67110-1831 - Phone
- (316) 371-4577
- NPI assigned
- Aug 28, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Chore Provider | 372500000X | |||
| Adult Companion | 372600000X | |||
| Attendant Care Provider | 3747A0650X | |||
| Personal Care Attendant | 3747P1801X | Yes | ||
| Home Health Aide | 374U00000X | |||
| Homemaker | 376J00000X | |||
| Nurse's Aide | 376K00000X |
Addresses
Primary practice location
510 S College Ave
Mulvane, KS 67110-1831
Mailing address
510 S College Ave
Mulvane, KS 67110-1831
Phone (316) 371-4577
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All providers in Mulvane, KS · Personal Care Attendant in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2013. 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.