Keshia Chambers
Individual provider Active NPI In Home Supportive Care Agency · Macedonia, OH
NPI 1760114615 · NPPES record last updated Jun 29, 2022
Key facts
- NPI
- 1760114615
- Entity type
- Individual (NPI type 1)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- Practice address
- 9594 Ledge Acres Dr
Macedonia, OH 44056-1072 - Phone
- (216) 338-4338
- NPI assigned
- Jun 29, 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Modifications Contractor |
171WH0202X | |||
| Driver | 172A00000X | |||
| Home Health Agency | 251E00000X | |||
| Chore Provider | 372500000X | |||
| Adult Companion | 372600000X | |||
| Respite Care | 385H00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Yes |
Addresses
Primary practice location
9594 Ledge Acres Dr
Macedonia, OH 44056-1072
Mailing address
9594 Ledge Acres Dr
Macedonia, OH 44056-1072
Phone (216) 338-4338
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0474650 | Medicaid | OH | |
| 7719322 | Other | OH | OHIO DEPARTMENT OF DEVELOPMENTAL DISABILITIES |
Other providers in Macedonia, OH
- Rosanne Marie Brynak
- Andrea M Busse
- Jasper Byrd III
- Monica Lynn Cales
- Juliana Pabon Carrus
- Ike Childress
- Emily Waler Cihon
- City of Macedonia
- Shannon T Clark
- Christopher James Conklin
All providers in Macedonia, OH · In Home Supportive Care Agency in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2022. 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.