Candis R Hatch
Individual provider Active NPI Personal Care Attendant · Hurdsfield, ND
NPI 1720675754 · NPPES record last updated Dec 23, 2020
Key facts
- NPI
- 1720675754
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 231 Myrtle Ave
Hurdsfield, ND 58451-5104 - Phone
- (701) 301-2821
- NPI assigned
- Dec 23, 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
231 Myrtle Ave
Hurdsfield, ND 58451-5104
Mailing address
231 Myrtle Ave
Hurdsfield, ND 58451-5104
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 23, 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.