Timothy Alan Holmes
Individual provider Active NPI Case Manager/Care Coordinator · Pedro, OH
NPI 1730655879 · NPPES record last updated Oct 16, 2018
Key facts
- NPI
- 1730655879
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 115 Private Road 977
Pedro, OH 45659-8608 - Phone
- (740) 534-1386
- NPI assigned
- Oct 16, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
115 Private Road 977
Pedro, OH 45659-8608
Mailing address
PO Box 6
Pedro, OH 45659-0006
Phone (740) 534-1386
Other providers in Pedro, OH
- Kenneth Ray Harbolt
- Kayla S Harrell
- Stella Hatfield
- Kimberly S Hensley
- Kelly Renee Higgins
- Kayla Howard
- Keith Michael Howard
- Mary Ann Howard
- Brandon Irvin
- Jamecia Jackson
All providers in Pedro, OH · Case Manager/Care Coordinator in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2018. 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.