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Shannon M Mattingly

Home Health Aide in Liberty Township, OH. Individual provider (NPI-1).

NPI number1851998272
StatusActive
Last updated in NPPESOct 8, 2020

Details

NPI
1851998272
Entity type
Individual (NPI-1)
Name
Shannon M Mattingly
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 8, 2020
Certification date
Oct 8, 2020
Last updated
Oct 8, 2020

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 codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide–OHYes

Practice location

7920 Paradise Cv
Liberty Township, OH 45044-8978

Phone 513-256-7333

Mailing address

7920 Paradise Cv
Liberty Township, OH 45044-8978

Phone 513-256-7333

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.

Other Home Health Aide providers in Liberty Township, OH

All 8 Home Health Aide providers in Liberty Township · All 369 providers in Liberty Township

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