Elouise Cross
Individual provider Active NPI Attendant Care Provider · Radcliff, KY
NPI 1609520683 · NPPES record last updated Feb 8, 2022
Key facts
- NPI
- 1609520683
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Attendant Care Provider 3747A0650X
- Practice address
- 901 Cheyenne Rd
Radcliff, KY 40160-2280 - Phone
- (270) 307-2174
- NPI assigned
- Feb 8, 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 |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | Yes |
Addresses
Primary practice location
901 Cheyenne Rd
Radcliff, KY 40160-2280
Mailing address
901 Cheyenne Rd
Radcliff, KY 40160-2280
Phone (270) 307-2174
Other providers in Radcliff, KY
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- Philip Cornette III
- Jess Cowman
- Ashley Craig
- David Brian Criscola
- Cumberland Family Medical Center Inc
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All providers in Radcliff, KY · Attendant Care Provider in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 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.