National Provider Identifier
Keith Maddox
Keith Maddox is listed in the NPPES registry with a primary specialty of Home Health Agency in Rochester, NY and a listed phone number of (585) 483-1720.
Profile Overview
- NPI
- 1295182293
- Provider Type
- Individual
- Primary Specialty
- Home Health Agency
- Enumeration Date
- May 19, 2016
- Last Updated
- May 19, 2016
Practice Location
- 230 Calm Lake Cir
- Apt. A
- Rochester, NY 14612-2543
Phone: (585) 483-1720
Specialties
- Home Health Agency (251E00000X)
- Case Management Agency (251B00000X)
Full Record
- NPI
- 1295182293
- Entity Type
- Individual
- Last Name
- Maddox
- First Name
- Keith
- Mailing Street Address
- 230 Calm Lake Cir
- Mailing Address Line 2
- Apt. A
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14612-2543
- Mailing Country
- US
- Mailing Phone
- (585) 483-1720
- Practice Street Address
- 230 Calm Lake Cir
- Practice Address Line 2
- Apt. A
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14612-2543
- Practice Country
- US
- Practice Phone
- (585) 483-1720
- Enumeration Date
- May 19, 2016
- Last Updated
- May 19, 2016
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Home Health Agency (251E00000X), Case Management Agency (251B00000X)