Tammy Cogswell

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

NPI 1720795347 · NPPES record last updated Nov 2, 2022

Key facts

NPI
1720795347
Entity type
Individual (NPI type 1)
Primary specialty
In Home Supportive Care Agency 253Z00000X
Practice address
3904 Warren Sharon Rd.
Vienna, OH 44473
Phone
(330) 501-7881
NPI assigned
Nov 2, 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
Driver 172A00000X
Private Vehicle 347C00000X
In Home Supportive Care Agency 253Z00000X Yes

Addresses

Primary practice location

3904 Warren Sharon Rd.
Vienna, OH 44473

Mailing address

3904 Warren Sharon Rd
Vienna, OH 44473-9543
Phone (330) 501-7881

Other providers in Vienna, OH

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

Sources for this page

Verify at the official NPI Registry.