Breanna Ousley
Individual provider Active NPI In Home Supportive Care Agency · Ray, OH
NPI 1912596404 · NPPES record last updated Mar 13, 2024
Key facts
- NPI
- 1912596404
- Entity type
- Individual (NPI type 1)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- Practice address
- 56012 Logpile Rd
Ray, OH 45672-8968 - Phone
- (740) 637-3999
- NPI assigned
- Jan 11, 2021
- 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 |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Yes |
Addresses
Primary practice location
56012 Logpile Rd
Ray, OH 45672-8968
Mailing address
56012 Logpile Rd
Ray, OH 45672-8968
Phone (740) 637-3999
Other providers in Ray, OH
- Rae Marlene Fout
- Jennifer Graves
- Sharon Kay Hutchinson
- Jackson Transportation Group LLC
- Lisa Suzanne Morton
- Cynthia M. Roe
- Anna Lisa Smith
- Kayla Ann Smith
- Chasitiy Sue Sowers
- Kimber Taborn
All providers in Ray, 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 Mar 13, 2024. 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.