IndividualActive
Ebony West
NPI 1164179461 · Personal Care Attendant · South Bend, IN
Provider details
- NPI number
- 1164179461
- Entity type
- Individual
- Primary specialty
- Personal Care AttendantNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 21-015359-1 (IN)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
5122 Cedarwood Ln
South Bend, IN 46619-1607
Phone: (574) 904-4212
Approximate (ZIP-level) locationGet directions
Mailing address
5122 Cedarwood Ln
South Bend, IN 46619-1607
Registry dates
- Enumerated
- 2022-03-07
- Last updated
- 2022-03-07
- Certified
- 2022-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.