MN Mitz Caetta
Individual provider Active NPI Homemaker · Stow, OH
NPI 1831815794 · NPPES record last updated Oct 12, 2022
Key facts
- NPI
- 1831815794
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- Practice address
- 4694 Wyoga Lake Rd
Stow, OH 44224-1012 - Phone
- (234) 738-5612
- NPI assigned
- Oct 12, 2022
- 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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | |||
| Homemaker | 376J00000X | Yes |
Addresses
Primary practice location
4694 Wyoga Lake Rd
Stow, OH 44224-1012
Mailing address
3345 State Rd Unit 3821
Cuyahoga Falls, OH 44223-4845
Phone (234) 738-5612
Other providers in Stow, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 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.