MRS. KAYLA NOELE PETRY NPI 1265029730

NPI Information

NPI: 1265029730
Provider Name: MRS. KAYLA NOELE PETRY
Classification: Respite Care - 385HR2060X
Entity Type: Individual

Specialization: Respite Care, Intellectual and/or Developmental Disabilities

Address:
2636 COUNTY ROAD 137
CARDINGTON, OH
ZIP 43315
Phone: (567) 231-8255
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MRS. Kayla Noele Petry is a respite care and mental retardation and/or developmental disabilities respite care in Cardington, OH. The provider is a facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers. MRS. Kayla Noele Petry NPI is 1265029730. 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:

2636 COUNTY ROAD 137
CARDINGTON, OH
ZIP 43315-530
Phone: (567) 231-8255

The enumeration date for this NPI number is 12/30/2020 and was last updated on 12/30/2020.

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	385HR2060X	Respite Care	Respite Care, Intellectual and/or Developmental Disabilities			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	5901108	MEDICAID	OHIO

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: 5/5/2024

NPI Synchronization or Removal

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