Provider Demographics
NPI:1568251833
Name:BUFFORD, ALTHEA G
Entity type:Individual
Prefix:
First Name:ALTHEA
Middle Name:G
Last Name:BUFFORD
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 1:4028 E 53RD ST APT 4
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44105-4881
Mailing Address - Country:US
Mailing Address - Phone:864-363-9611
Mailing Address - Fax:
Practice Address - Street 1:4028 E 53RD ST APT 4
Practice Address - Street 2:
Practice Address - City:NEWBURGH HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44105-4881
Practice Address - Country:US
Practice Address - Phone:864-363-9611
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-03
Last Update Date:2025-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No172A00000XOther Service ProvidersDriverGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite Care
No376J00000XNursing Service Related ProvidersHomemaker