Kierston Dawn Gladden
Individual provider Active NPI In Home Supportive Care Agency · Lakeview, OH
NPI 1558069161 · NPPES record last updated Feb 22, 2023
Key facts
- NPI
- 1558069161
- Entity type
- Individual (NPI type 1)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- Practice address
- 325 Hull St
Lakeview, OH 43331-9470 - Phone
- (419) 860-2095
- NPI assigned
- Feb 22, 2023
- 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 |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Yes |
Addresses
Primary practice location
325 Hull St
Lakeview, OH 43331-9470
Mailing address
325 Hull St
Lakeview, OH 43331-9470
Phone (419) 860-2095
Other providers in Lakeview, OH
- Lucille N Biddinger
- Sherry Alice Brammer
- Kimberly Daniels
- Donna Lynn Elson
- Kelsey Gammon
- Nichole Harter
- Heartland-Indian Lake of Lakeview Oh LLC
- Donald Aarin Hollar
- Leslie Ann Hollar
- Sally Jane Houser
All providers in Lakeview, OH · In Home Supportive Care Agency in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2023. 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.