Susan M Guyton
Individual provider Active NPI Home Health Aide · Melrose, OH
NPI 1679614432 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1679614432
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 404 Perry Street Box 35
Melrose, OH 45861-0035 - Phone
- (419) 594-3707
- NPI assigned
- Feb 12, 2007
- 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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Yes |
Addresses
Primary practice location
404 Perry Street Box 35
Melrose, OH 45861-0035
Mailing address
PO Box 35
P.O. Box 35
Melrose, OH 45861-0035
Phone (419) 594-3707
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2659994 | Medicaid | OH |
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. 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.