Individual ProviderWinda BirtStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address5726 Southwyck Blvd Ste 200, Toledo, OH 43614-1510(419) 214-1766PECOS EnrollmentBased on the most recent information from CMS, provider Winda Birt does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1871283275Provider TypeIndividualFull NameBirt, WindaCredentialMAGenderFemaleSole ProprietorYesEnumeration Date5/9/2023Last Updated11/15/2024Contact InformationPractice LocationPractice Address5726 Southwyck Blvd Ste 200, Toledo, OH 43614-1510Phone(419) 214-1766Fax(419) 214-1792Mailing LocationMailing Address5726 Southwyck Blvd Ste 200, Toledo, OH 43614-1510Phone(419) 214-1766Fax(419) 214-1792Provider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseS.2403484-TRNEOhioCode251B00000XDescriptionCase ManagementAgenciesLicenseUnlisted IssuerOhioProvider IdentifiersIDDescriptionIssuerID0016285DescriptionMedicaidIssuerUnlistedOhio