| Proxy Healthcare Llc | |
|
3570 Executive Dr Ste 110 Uniontown OH 44685-8712 | |
| (330) 696-9430 | |
| Not Available |
| Full Name | Proxy Healthcare Llc |
|---|---|
| Speciality | Home Health |
| Location | 3570 Executive Dr Ste 110, Uniontown, Ohio |
| Authorized Official Name and Position | Luke Gaskins (CEO) |
| Authorized Official Contact | 3306969430 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Proxy Healthcare Llc 3570 Executive Dr Ste 202 Uniontown OH 44685-8712 Ph: (330) 696-9430 | Proxy Healthcare Llc 3570 Executive Dr Ste 110 Uniontown OH 44685-8712 Ph: (330) 696-9430 |
| NPI Number | 1396582730 |
|---|---|
| Provider Enumeration Date | 07/12/2024 |
| Last Update Date | 10/08/2025 |
| Medicare PECOS PAC ID | 6507399524 |
|---|---|
| Medicare Enrollment ID | O20250115001587 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396582730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 251E00000X | Home Health | (* (Not Available)) | Primary |
| Provider Name | Kimberly A Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578153953 PECOS PAC ID: 0042619637 Enrollment ID: I20210602001332 |
| Provider Name | Kara Marie Glick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356037279 PECOS PAC ID: 8325405830 Enrollment ID: I20230526001456 |
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