Brenda Smith

Individual provider Active NPI Home Health Agency · Versailles, OH

NPI 1649919952 · NPPES record last updated Jun 3, 2022

Key facts

NPI
1649919952
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Agency 251E00000X
Practice address
34 Euclid St
Versailles, OH 45380-1150
Phone
(937) 423-4773
NPI assigned
Jun 3, 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)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X
Home Health Agency 251E00000X Yes

Addresses

Primary practice location

34 Euclid St
Versailles, OH 45380-1150

Mailing address

34 Euclid St
Versailles, OH 45380-1150
Phone (937) 423-4773

Other providers in Versailles, OH

All providers in Versailles, OH · Home Health Agency in Ohio

Sources for this page

Verify at the official NPI Registry.