Betty Harbour, AIDE
Individual provider Active NPI Personal Care Attendant · Tom Ball, TX
NPI 1962991315 · NPPES record last updated May 1, 2018
Key facts
- NPI
- 1962991315
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 10 Capri Bend
Tom Ball, TX 77375 - Phone
- (310) 339-8613
- NPI assigned
- May 1, 2018
- 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 |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
10 Capri Bend
Tom Ball, TX 77375
Mailing address
10 Capri Bend
Tom Ball, TX 77375
Phone (310) 339-8613
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2018. 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.