Amanda Marie Snyder
Individual provider Active NPI Home Health Agency · Sullivan, OH
NPI 1508359308 · NPPES record last updated Jan 23, 2024
Key facts
- NPI
- 1508359308
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Agency 251E00000X
- Practice address
- 343 State Route 58
Sullivan, OH 44880-9762 - Phone
- (419) 736-2191
- NPI assigned
- Jun 7, 2018
- 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)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | OH | Yes |
Addresses
Primary practice location
343 State Route 58
Sullivan, OH 44880-9762
Mailing address
343 State Route 58
Sullivan, OH 44880-9762
Phone (419) 736-2191
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0273514 | Medicaid | OH |
Other providers in Sullivan, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 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.