N. Gavin Connors
Individual provider Active NPI Home Health Aide · Huron, OH
NPI 1669541124 · NPPES record last updated Nov 12, 2020
Key facts
- NPI
- 1669541124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 324 Ohio St
Huron, OH 44839-1516 - Phone
- (330) 554-6246
- NPI assigned
- Nov 7, 2006
- Sex
- Male
- 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
324 Ohio St
Huron, OH 44839-1516
Mailing address
324 Ohio St
Huron, OH 44839-1516
Phone (330) 554-6246
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2315720 | Medicaid | OH |
Other providers in Huron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2020. 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.