Rachel Lewis

Individual provider Active NPI In Home Supportive Care Agency · Riverside, OH

NPI 1700523248 · NPPES record last updated May 17, 2022

Key facts

NPI
1700523248
Entity type
Individual (NPI type 1)
Primary specialty
In Home Supportive Care Agency 253Z00000X
Practice address
849 Edinboro CT
Riverside, OH 45431-1122
Phone
(419) 549-2005
NPI assigned
May 17, 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 Yes

Addresses

Primary practice location

849 Edinboro CT
Riverside, OH 45431-1122

Mailing address

849 Edinboro CT
Riverside, OH 45431-1122
Phone (419) 549-2005

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL Home Direct

Other providers in Riverside, OH

All providers in Riverside, OH · In Home Supportive Care Agency in Ohio

Sources for this page

Verify at the official NPI Registry.