Provider Demographics
NPI:1104344001
Name:WATKINS, BELINDA JOYCE (HHA)
Entity type:Individual
Prefix:
First Name:BELINDA
Middle Name:JOYCE
Last Name:WATKINS
Suffix:
Gender:F
Credentials:HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:63 GORMLEY AVE
Mailing Address - Street 2:
Mailing Address - City:ROOSEVELT
Mailing Address - State:NY
Mailing Address - Zip Code:11575-2416
Mailing Address - Country:US
Mailing Address - Phone:516-270-0525
Mailing Address - Fax:
Practice Address - Street 1:63 GORMLEY AVE
Practice Address - Street 2:
Practice Address - City:ROOSEVELT
Practice Address - State:NY
Practice Address - Zip Code:11575-2416
Practice Address - Country:US
Practice Address - Phone:516-270-0525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty