Shaun Michael Allen
Individual provider Active NPI Home Health Aide · Los Molinos, CA
NPI 1982173142 · NPPES record last updated Nov 16, 2018
Key facts
- NPI
- 1982173142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 7770 Tina CT
Los Molinos, CA 96055-9732 - Phone
- (530) 624-3182
- NPI assigned
- Nov 16, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Yes |
Addresses
Primary practice location
7770 Tina CT
Los Molinos, CA 96055-9732
Mailing address
7770 Tina CT
Los Molinos, CA 96055-9732
Phone (530) 624-3182
Other providers in Los Molinos, CA
All providers in Los Molinos, CA · Home Health Aide in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 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.