KATHRYN SUE WILLIS NPI 1285249474

NPI Information

NPI: 1285249474
Provider Name: KATHRYN SUE WILLIS
Classification: Technician - 3747P1801X
Entity Type: Individual

Specialization: Personal Care Attendant

Address:
3316 PERCENTUM RD APT 311
TOLEDO, OH
ZIP 43617
Phone: (419) 283-3260
Get Directions

Kathryn Sue Willis is a personal care attendant technician in Toledo, OH. The provider is an individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards Kathryn Sue Willis NPI is 1285249474. 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:

3316 PERCENTUM RD APT 311
TOLEDO, OH
ZIP 43617-141
Phone: (419) 283-3260

The enumeration date for this NPI number is 9/14/2020 and was last updated on 9/15/2020.

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	3747A0650X	Technician	Attendant Care Provider	4808328	OHIO	No
2	376J00000X	Homemaker		4808328	OHIO	No
3	3747P1801X	Technician	Personal Care Attendant	4808328	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	013893	MEDICAID	OHIO
2	4808328	OTHER	OHIO	ODM

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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