Amy Faulk

Individual provider Active NPI In Home Supportive Care Agency · Lisbon, OH

NPI 1538058623 · NPPES record last updated Jul 6, 2025

Key facts

NPI
1538058623
Entity type
Individual (NPI type 1)
Primary specialty
In Home Supportive Care Agency 253Z00000X
Practice address
38790 State Route 518
Lisbon, OH 44432-9788
Phone
(330) 424-8662
Fax
(330) 424-8662
NPI assigned
Jul 2, 2025
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)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Yes

Addresses

Primary practice location

38790 State Route 518
Lisbon, OH 44432-9788

Mailing address

38790 State Route 518
Lisbon, OH 44432-9788
Phone (330) 424-8662

Other providers in Lisbon, OH

All providers in Lisbon, OH · In Home Supportive Care Agency in Ohio

Sources for this page

Verify at the official NPI Registry.