Delora Hale
Individual provider Active NPI Home Health Aide · Moxee, WA
NPI 1689207151 · NPPES record last updated Feb 12, 2020
Key facts
- NPI
- 1689207151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 102 Rainier Ave
Moxee, WA 98936-9396 - Phone
- (509) 833-9174
- NPI assigned
- Feb 12, 2020
- Sex
- Female
- Sole proprietor
- No
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
102 Rainier Ave
Moxee, WA 98936-9396
Mailing address
102 Rainier Ave
Moxee, WA 98936-9396
Phone (509) 833-9174
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 604565425 | Medicaid | WA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Delorahale@gmail.com |
Other providers in Moxee, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 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.