BETHANY C GORDON NPI 1720687833

NPI Information

NPI: 1720687833
Provider Name: BETHANY C GORDON
Classification: Homemaker - 376J00000X
Entity Type: Individual
Address:
2528 HAVILAND CT
MANSFIELD, OH
ZIP 44903
Phone: (419) 565-6575
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Bethany C Gordon is a homemaker in Mansfield, 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. Bethany C Gordon NPI is 1720687833. 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:

2528 HAVILAND CT
MANSFIELD, OH
ZIP 44903-928
Phone: (419) 565-6575

The enumeration date for this NPI number is 10/20/2020 and was last updated on 10/23/2023.

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	License State	Primary
1	347C00000X	Private Vehicle	OHIO	No
2	390200000X	Student in an Organized Health Care Education/Training Program		No
3	376J00000X	Homemaker	OHIO	Yes

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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