Michaela Mabel Boston
Home Health Aide in Bowling Green, OH. Individual provider (NPI-1).
NPI number1104573013
StatusActive
Last updated in NPPESMar 13, 2024
Details
- NPI
- 1104573013
- Entity type
- Individual (NPI-1)
- Name
- Miss Michaela Mabel Boston
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 10, 2022
- Certification date
- Mar 13, 2024
- Last updated
- Mar 13, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
Practice location
702 Barnstable LnBowling Green, OH 43402-8740
Phone 419-410-7335
Mailing address
702 Barnstable LnBowling Green, OH 43402-8740
Phone 419-410-7335
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 15 Home Health Aide providers in Bowling Green · All 1,085 providers in Bowling Green
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