Juanett Maxwell
Individual provider Active NPI Home Health Aide · Cottageville, SC
NPI 1982108452 · NPPES record last updated Apr 17, 2019
Key facts
- NPI
- 1982108452
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 595 Brocktown Rd
Cottageville, SC 29435-3158 - Phone
- (803) 747-9265
- NPI assigned
- Mar 20, 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 |
|---|---|---|---|---|
| Adult Companion | 372600000X | |||
| Home Health Aide | 374U00000X | Yes |
Addresses
Primary practice location
595 Brocktown Rd
Cottageville, SC 29435-3158
Mailing address
595 Brocktown Rd
Cottageville, SC 29435-3158
Other providers in Cottageville, SC
- Deanna L Borek
- Deneya Dingle
- Emily Carpen Golubow
- Victoria Hall
- Kimberly Robertson Scanlon
- Krystal Seipp
All providers in Cottageville, SC · Home Health Aide in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2019. 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.