Brandon Hixenbaugh
Individual provider Active NPI Homemaker · Minerva, OH
NPI 1780577973 · NPPES record last updated May 29, 2025
Key facts
- NPI
- 1780577973
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- Practice address
- 202 W High St
Minerva, OH 44657-1625 - Phone
- (419) 618-9031
- NPI assigned
- May 29, 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 |
|---|---|---|---|---|
| Homemaker | 376J00000X | OH | Yes | |
| Developmentally Disabled Services Day Training Agency | 251C00000X | OH | ||
| Non-emergency Medical Transport (VAN) | 343900000X | OH | ||
| Adult Companion | 372600000X | OH | ||
| Day Training/Habilitation Specialist | 373H00000X | OH | ||
| Respite Care | 385H00000X | OH |
Addresses
Primary practice location
202 W High St
Minerva, OH 44657-1625
Mailing address
PO Box 38
Minerva, OH 44657-0038
Phone (419) 618-9031
Other providers in Minerva, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 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.