Patricia Gragg

Individual provider Active NPI Personal Care Attendant · Greenfield, OH

NPI 1851992259 · NPPES record last updated Nov 3, 2020

Key facts

NPI
1851992259
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
8282 Beaver Rd
Greenfield, OH 45123-8271
Phone
(937) 402-7423
NPI assigned
Nov 3, 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)CodeLicenseStatePrimary
Personal Care Attendant
Group: 193200000X MULTI-SPECIALTY GROUP
3747P1801X OH Yes

Addresses

Primary practice location

8282 Beaver Rd
Greenfield, OH 45123-8271

Mailing address

8282 Beaver Rd
Greenfield, OH 45123-8271
Phone (937) 402-7423

Other identifiers

IdentifierTypeStateIssuer
3601409MedicaidOH

Other providers in Greenfield, OH

All providers in Greenfield, OH · Personal Care Attendant in Ohio

Sources for this page

Verify at the official NPI Registry.