Lisa Dawn Gearlds

Individual provider Active NPI Personal Care Attendant · Edmonton, KY

NPI 1497316822 · NPPES record last updated Jun 26, 2019

Key facts

NPI
1497316822
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
414 W Stockton St
Edmonton, KY 42129-9435
Phone
(270) 590-2000
NPI assigned
Jun 26, 2019
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Hadley Home Care LLC Past
since Dec 9, 2019
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant
Group: 193400000X SINGLE SPECIALTY GROUP
3747P1801X Yes

Addresses

Primary practice location

414 W Stockton St
Edmonton, KY 42129-9435

Mailing address

PO Box 4
Edmonton, KY 42129-0004
Phone (270) 590-2000

Other providers in Edmonton, KY

All providers in Edmonton, KY · Personal Care Attendant in Kentucky

Sources for this page

Verify at the official NPI Registry.