BRENDA KAY THACKER NPI 1891384640

NPI Information

NPI: 1891384640
Provider Name: BRENDA KAY THACKER
Classification: Homemaker - 376J00000X
Entity Type: Individual
Address:
3860 US HIGHWAY 62 NE
WASHINGTON COURT HOUSE, OH
ZIP 43160
Phone: (740) 505-2279
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Brenda Kay Thacker is a homemaker in Washington Court House, OH. The provider is an individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards. Brenda Kay Thacker NPI is 1891384640. 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:

3860 US HIGHWAY 62 NE
WASHINGTON COURT HOUSE, OH
ZIP 43160-070
Phone: (740) 505-2279

The enumeration date for this NPI number is 1/15/2021 and was last updated on 1/15/2021.

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 State	Primary
1	172A00000X	Driver		OHIO	No
2	3747P1801X	Technician	Personal Care Attendant	OHIO	No
3	376J00000X	Homemaker		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	2819310	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: 4/28/2024

NPI Synchronization or Removal

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