Provider Demographics
NPI:1992484539
Name:GEBREZIABHER, NEBIAT GEBRU
Entity type:Individual
Prefix:
First Name:NEBIAT
Middle Name:GEBRU
Last Name:GEBREZIABHER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:435 METRO PL S STE 1011
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-5315
Mailing Address - Country:US
Mailing Address - Phone:206-753-7910
Mailing Address - Fax:
Practice Address - Street 1:435 METRO PL S STE 1011
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-5315
Practice Address - Country:US
Practice Address - Phone:206-753-7910
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-12
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No174200000XOther Service ProvidersMeals
No332U00000XSuppliersHome Delivered Meals
No347C00000XTransportation ServicesPrivate Vehicle
No372500000XNursing Service Related ProvidersChore Provider
No372600000XNursing Service Related ProvidersAdult Companion
No374U00000XNursing Service Related ProvidersHome Health Aide
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant