Andretta Inge Bennett
Individual provider Active NPI Home Health Aide · Wilmer, AL
NPI 1871307397 · NPPES record last updated Feb 4, 2025
Key facts
- NPI
- 1871307397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 8315 Willow Trace CT E
Wilmer, AL 36587-9528 - Phone
- (251) 605-2180
- NPI assigned
- Feb 4, 2025
- 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 |
|---|---|---|---|---|
| Adult Companion | 372600000X | AL | ||
| Home Health Aide | 374U00000X | AL | Yes |
Addresses
Primary practice location
8315 Willow Trace CT E
Wilmer, AL 36587-9528
Mailing address
8315 Willow Trace CT E
Wilmer, AL 36587-9528
Phone (251) 605-2180
Other providers in Wilmer, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2025. 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.