Robin Lee Douglass
Individual provider Active NPI Home Health Aide · Minerva, OH
NPI 1548921091 · NPPES record last updated Jan 6, 2022
Key facts
- NPI
- 1548921091
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 14676 Liberty Church St SE
Minerva, OH 44657-8812 - Phone
- (133) 020-5926
- NPI assigned
- Jan 6, 2022
- 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 | OH | Yes |
Addresses
Primary practice location
14676 Liberty Church St SE
Minerva, OH 44657-8812
Mailing address
14676 Liberty Church St SE
Minerva, OH 44657-8812
Phone (133) 020-5926
Other providers in Minerva, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2022. 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.