Justin Wesley Andrick Sr.
Individual provider Active NPI In Home Supportive Care Agency · Marion, OH
NPI 1962233080 · NPPES record last updated Aug 10, 2024
Key facts
- NPI
- 1962233080
- Entity type
- Individual (NPI type 1)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- Practice address
- 500 Girard Ave
Marion, OH 43302-4918 - Phone
- (740) 914-0373
- NPI assigned
- Aug 10, 2024
- 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 |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Yes |
Addresses
Primary practice location
500 Girard Ave
Marion, OH 43302-4918
Mailing address
500 Girard Ave
Marion, OH 43302-4918
Phone (740) 914-0373
Other providers in Marion, OH
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- Andrea Patarozzi
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- Ankle and Foot Specialists of Marion, Inc
- Kumarraghavachowdary Annam
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- Rosemary Lynn Appelfeller
All providers in Marion, 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 Aug 10, 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.