Provider Demographics
NPI:1578166195
Name:SHINN, HELEN MARIE (PERSONAL CARE AIDE)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:MARIE
Last Name:SHINN
Suffix:
Gender:F
Credentials:PERSONAL CARE AIDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 SANFORD AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44305-1733
Mailing Address - Country:US
Mailing Address - Phone:330-715-6321
Mailing Address - Fax:
Practice Address - Street 1:707 SANFORD AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44305-1733
Practice Address - Country:US
Practice Address - Phone:330-715-6321
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-17
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant