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AETNA PROVIDER SERVICE NPI 1770972143


NPI Information

NPI: 1770972143
Provider Name: AETNA PROVIDER SERVICE
Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization
Address:
8514 ARLEN DRIVE
BLACKLICK, OH
ZIP 43004
Phone: (614) 946-5475
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AETNA PROVIDER SERVICE is an in home supportive care in Blacklick, OH. The provider is an In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. AETNA PROVIDER SERVICE NPI is 1770972143. The provider is registered as an organization entity type.

The provider's business location address is:

8514 ARLEN DRIVE
BLACKLICK, OH
ZIP 43004
Phone: (614) 946-5475

The provider's authorized official is Memunatu Sheriff .
The authorized official title is Independent Provider and has the following contact phone number (614) 946-5475.

The enumeration date for this NPI number is 1/22/2015 and was last updated on 1/22/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1253Z00000XIn Home Supportive Care2366658OHIOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12366658MEDICAIDOHIO

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: 4/28/2024

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