Adra Elaine Battle

Individual provider Active NPI Home Health Agency · Newberry, SC

NPI 1679104145 · NPPES record last updated Feb 3, 2020

Key facts

NPI
1679104145
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Agency 251E00000X
Practice address
3519 Dufford St Unit 16
Newberry, SC 29108-1448
Phone
(803) 924-8588
NPI assigned
Feb 3, 2020
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
Home Health Agency 251E00000X Yes

Addresses

Primary practice location

3519 Dufford St Unit 16
Newberry, SC 29108-1448

Mailing address

3519 Dufford St Unit 16
Newberry, SC 29108-1448
Phone (803) 924-8588

Other identifiers

IdentifierTypeStateIssuer
400000013586MedicaidSC

Other providers in Newberry, SC

All providers in Newberry, SC · Home Health Agency in South Carolina

Sources for this page

Verify at the official NPI Registry.