Diana Beatty
Individual provider Active NPI Home Health Agency · Laura, OH
NPI 1831786995 · NPPES record last updated Dec 23, 2020
Key facts
- NPI
- 1831786995
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Agency 251E00000X
- Practice address
- 293 S State Route 721
Laura, OH 45337-9759 - Phone
- (937) 572-4131
- NPI assigned
- Dec 23, 2020
- 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 Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
293 S State Route 721
Laura, OH 45337-9759
Mailing address
293 S State Route 721
Laura, OH 45337-9759
Other providers in Laura, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 23, 2020. 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.