Samantha Nannette Paul, STNA
Individual provider Active NPI Home Health Aide · Houston, OH
NPI 1992836662 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1992836662
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- License
- 400394470804 (OH)
- Practice address
- 5678 Russia Versailles Rd
Houston, OH 45333-9732 - Phone
- (937) 615-0083
- Fax
- (937) 615-0083
- NPI assigned
- Mar 7, 2007
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 400394470804 | OH | MD | Home Health Aide |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 400394470804 | OH | Yes |
Addresses
Primary practice location
5678 Russia Versailles Rd
Houston, OH 45333-9732
Mailing address
5678 Russia Versailles Rd
Houston, OH 45333-9732
Phone (937) 615-0083
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2553606 | Medicaid | OH |
Other providers in Houston, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. 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.