Madison Spencer
Individual provider Active NPI Home Health Agency · Johnstown, OH
NPI 1962992966 · NPPES record last updated May 15, 2018
Key facts
- NPI
- 1962992966
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Agency 251E00000X
- Practice address
- 5514 Dutch LN
Johnstown, OH 43031-9450 - Phone
- (303) 995-8940
- NPI assigned
- May 15, 2018
- 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 | |||
| Adult Companion |
372600000X | |||
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
5514 Dutch LN
Johnstown, OH 43031-9450
Mailing address
5514 Dutch LN
Johnstown, OH 43031-9450
Phone (303) 995-8940
Other providers in Johnstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 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.