Mary Jo Gonzalez
Individual provider Active NPI Home Health Aide · Struthers, OH
NPI 1497588735 · NPPES record last updated Aug 22, 2024
Key facts
- NPI
- 1497588735
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 519 Maplewood Ave
Struthers, OH 44471-1134 - Phone
- (330) 240-4499
- NPI assigned
- Aug 22, 2024
- 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
519 Maplewood Ave
Struthers, OH 44471-1134
Mailing address
519 Maplewood Ave
Struthers, OH 44471-1134
Phone (330) 240-4499
Other providers in Struthers, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2024. 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.