Renda Renee Brooks
Individual provider Active NPI Personal Care Attendant · Mandan, ND
NPI 1992389613 · NPPES record last updated May 9, 2021
Key facts
- NPI
- 1992389613
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 3821 Bay Shore BND SE
Mandan, ND 58554-6305 - Phone
- (701) 498-2577
- NPI assigned
- May 9, 2021
- 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 |
|---|---|---|---|---|
| Chore Provider | 372500000X | |||
| Homemaker | 376J00000X | |||
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
3821 Bay Shore BND SE
Mandan, ND 58554-6305
Mailing address
3821 Bay Shore BND SE
Mandan, ND 58554-6305
Phone (701) 498-2577
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Mandan | Direct |
Other providers in Mandan, ND
- Margie Braudrick
- Jericka Jane Brendel
- Devon Brew
- Alexandra Brice
- Brightway Living
- Amanda Brown
- Cora Brown
- Mary Brown
- Katrin Brianne Brucker
- Amanda Brumfield
All providers in Mandan, ND · Personal Care Attendant in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2021. 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.