MEDICARE: BRENDA MABE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	343900000X	Non-emergency Medical Transport (VAN)
2	347C00000X	Private Vehicle
3	376J00000X	Homemaker

General Provider Information

NPI Number	:	1942074166
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRENDA MABE

Provider Business Mailing Address
First Line	:	1344 SPRING VILLAGE DR
Second Line	:
City	:	ONTARIO
State	:	OH
Zip	:	44906-5011
Country	:	US
Telephone Number	:	419-544-0604
Fax Number	:

Provider Business Practice Location Address
First Line	:	1344 SPRING VILLAGE DR
Second Line	:
City	:	ONTARIO
State	:	OH
Zip	:	44906-5011
Country	:	US
Telephone Number	:	419-544-0604
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2023
Last Update Date	:	11/08/2023

Similar Medicare Providers

1851222400 — BRITTANY DEATON
Practice Location Address:

220 CRESTON RD
ONTARIO, OH
44906-2211

Practice Phone: 567-241-8137
Practice Fax:

1861321374 — HARRISON HAMILTON
Practice Location Address:

2291 VILLAGE PARK CT
ONTARIO, OH
44906-1167

Practice Phone: 216-499-3436
Practice Fax:

1376472886 — KENDALANN HERSHISER
Practice Location Address:

2291 VILLAGE PARK CT
ONTARIO, OH
44906-1167

Practice Phone: 216-499-3436
Practice Fax:

1518732072 — JORDANN RYLEE GRAVES
Practice Location Address:

890 W 4TH ST
ONTARIO, OH
44906-2565

Practice Phone: 419-774-5520
Practice Fax:

1518897289 — NICHOLE GOTT
Practice Location Address:

890 W 4TH ST
ONTARIO, OH
44906-2565

Practice Phone: 419-512-0884
Practice Fax:

1609549286 — JORDAN YEATER SLP
Practice Location Address:

890 W 4TH ST
ONTARIO, OH
44906-2565

Practice Phone: 419-774-5520
Practice Fax:

Directions to “ BRENDA MABE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.