Henrietta Lynn Sullivan
Individual provider Active NPI Personal Care Attendant · Phelps, KY
NPI 1831703867 · NPPES record last updated Jun 24, 2021
Key facts
- NPI
- 1831703867
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 167 Billy Dotson BR
Phelps, KY 41553-8514 - Phone
- (606) 369-0235
- NPI assigned
- Sep 8, 2020
- Sex
- Female
- Sole proprietor
- No
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
167 Billy Dotson BR
Phelps, KY 41553-8514
Mailing address
167 Billy Dotson BR
Phelps, KY 41553-8514
Phone (606) 369-0235
Other providers in Phelps, KY
- Lee Ingal Restar
- Traci Leeann Rowlett
- James Donith Sanders X
- Sound Mind Counseling, LLC
- Danielle Marie Sperow
- Rhonda Whitt
- Chasity Wolford
All providers in Phelps, KY · Personal Care Attendant in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2021. 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.