MS. CAROLYN DENISE GAINES STNA NPI 1184979049

NPI Information

NPI: 1184979049
Provider Name: MS. CAROLYN DENISE GAINES, STNA
Classification: Contractor - 171WH0202X
Entity Type: Individual

Specialization: Home Modifications

Address:
1600 MARS HILL DR APT B
WEST CARROLLTON, OH
ZIP 45449
Phone: (937) 287-4482
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MS. Carolyn Denise Gaines, STNA is a home modifications contractor in West Carrollton, OH. MS. Carolyn Denise Gaines, STNA NPI is 1184979049. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1600 MARS HILL DR APT B
WEST CARROLLTON, OH
ZIP 45449-128
Phone: (937) 287-4482

The enumeration date for this NPI number is 7/17/2012 and was last updated on 7/17/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171WH0202X	Contractor	Home Modifications	376954841197	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	376954841197	OTHER	OHIO	STATE OF OHIO NURSE AIDE REGISTRY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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