Kristen E Angelo
Individual provider Active NPI Home Health Aide · Wickliffe, OH
NPI 1871368068 · NPPES record last updated Nov 17, 2023
Key facts
- NPI
- 1871368068
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 30131 Ridge Rd
Wickliffe, OH 44092-1854 - Phone
- (440) 488-1062
- NPI assigned
- Nov 17, 2023
- Sex
- Female
- Sole proprietor
- No
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 | Yes |
Addresses
Primary practice location
30131 Ridge Rd
Wickliffe, OH 44092-1854
Mailing address
463 E 328TH St
Willowick, OH 44095-3311
Phone (440) 488-1062
Other providers in Wickliffe, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2023. 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.