Provider Demographics
NPI:1245426451
Name:NP HOME VISITS LLC
Entity Type:Organization
Organization Name:NP HOME VISITS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRYANT
Authorized Official - Suffix:
Authorized Official - Credentials:CNP
Authorized Official - Phone:937-725-5006
Mailing Address - Street 1:3063 HARVEYSBURG RD
Mailing Address - Street 2:
Mailing Address - City:WAYNESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45068-9420
Mailing Address - Country:US
Mailing Address - Phone:937-725-5006
Mailing Address - Fax:937-289-3003
Practice Address - Street 1:3063 HARVEYSBURG RD
Practice Address - Street 2:
Practice Address - City:WAYNESVILLE
Practice Address - State:OH
Practice Address - Zip Code:45068-9420
Practice Address - Country:US
Practice Address - Phone:937-725-5006
Practice Address - Fax:937-289-3003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-20
Last Update Date:2018-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN192105363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2222491Medicaid