Corey Reilly
Individual provider Active NPI Personal Care Attendant · Minto, ND
NPI 1750192407 · NPPES record last updated Jan 14, 2025
Key facts
- NPI
- 1750192407
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 5552 152ND Ave NE
Minto, ND 58261-9429 - Phone
- (218) 230-0939
- NPI assigned
- Jan 14, 2025
- 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 |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
5552 152ND Ave NE
Minto, ND 58261-9429
Mailing address
5552 152ND Ave NE
Minto, ND 58261-9429
Phone (218) 230-0939
Other providers in Minto, ND
All providers in Minto, ND · Personal Care Attendant in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2025. 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.