Jeffrey Glaze
Individual provider Active NPI In Home Supportive Care Agency · Aurora, OH
NPI 1861075657 · NPPES record last updated Apr 30, 2021
Key facts
- NPI
- 1861075657
- Entity type
- Individual (NPI type 1)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- Practice address
- 1139 E Garfield Rd
Aurora, OH 44202-7755 - Phone
- (440) 382-2399
- NPI assigned
- Apr 30, 2021
- 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 |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | |||
| Private Vehicle | 347C00000X | |||
| Homemaker | 376J00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Yes |
Addresses
Primary practice location
1139 E Garfield Rd
Aurora, OH 44202-7755
Mailing address
1139 E Garfield Rd
Aurora, OH 44202-7755
Phone (440) 382-2399
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0430148 | Medicaid | OH |
Other providers in Aurora, OH
- Jonathan M Galiardi
- Sharin M Gannon
- Lynne Gatzulis
- Gentle Touch Chiropractic, LLC
- Kimberly J Gibson
- Kelly Glaze
- Good Nature Therapy Services
- Alisa Gotic
- Gray Medical LLC
- Ian Grissett
All providers in Aurora, OH · In Home Supportive Care Agency in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 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.