Tina M Wild
Individual provider Active NPI In Home Supportive Care Agency · New Springfield, OH
NPI 1598523912 · NPPES record last updated Mar 11, 2024
Key facts
- NPI
- 1598523912
- Entity type
- Individual (NPI type 1)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- Practice address
- 4113 Columbiana Rd
New Springfield, OH 44443 - Phone
- (330) 565-4684
- NPI assigned
- Mar 11, 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 |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Yes |
Addresses
Primary practice location
4113 Columbiana Rd
New Springfield, OH 44443
Mailing address
4113 Columbiana Rd
New Springfield, OH 44443
Phone (330) 565-4684
Other providers in New Springfield, OH
All providers in New Springfield, 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 Mar 11, 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.