Sara June Chapman, CDAC
Individual provider Active NPI Home Health Aide · Manchester, IA
NPI 1497414239 · NPPES record last updated Dec 9, 2021
Key facts
- NPI
- 1497414239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 712 S 3Rd St
Manchester, IA 52057-2116 - Phone
- (563) 929-1273
- NPI assigned
- Dec 9, 2021
- 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 |
|---|---|---|---|---|
| Home Health Aide |
374U00000X | Yes |
Addresses
Primary practice location
712 S 3Rd St
Manchester, IA 52057-2116
Mailing address
PO Box 61
Manchester, IA 52057-0061
Phone (563) 929-1273
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07057455 | Medicaid | IA |
Other providers in Manchester, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2021. 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.