=====================================================
General NPI Number Information
=====================================================
NPI Number | 1043010218
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SARAH MAY NEWELL
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/17/2025
-----------------------------------------------------
Last Update Date | 03/17/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 403 DAIR AVE
-----------------------------------------------------
City | HARRISON
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45030-1113
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 812-290-1407
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1086 N ROSFELD RD
-----------------------------------------------------
City | SUNMAN
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 47041-7876
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 812-290-1407
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3747P1801X
-----------------------------------------------------
Taxonomy Name | Personal Care Attendant
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------