Christina Lynn Fred
Individual provider Active NPI Home Health Aide · Du Quoin, IL
NPI 1982208708 · NPPES record last updated Nov 23, 2020
Key facts
- NPI
- 1982208708
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 314 E Cole St
Du Quoin, IL 62832-2161 - Phone
- (618) 318-2421
- NPI assigned
- Nov 23, 2020
- 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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Yes |
Addresses
Primary practice location
314 E Cole St
Du Quoin, IL 62832-2161
Mailing address
314 E Cole St
Du Quoin, IL 62832-2161
Phone (618) 318-2421
Other providers in Du Quoin, IL
- Fairview Rehabilitation & Healthcare LLC
- Christopher Fields
- Billie Jo Fikuart
- Five Star Industries, Inc.
- Amy Deanne Fornear
- Terri A Fuller
- Craig W Furry
- Brad Galli
- David E Gerdt
- Carolyn Celeste Gibson
All providers in Du Quoin, IL · Home Health Aide in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 23, 2020. 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.