Mackenzie Renee Ludwig
Individual provider Active NPI Home Health Aide · Custar, OH
NPI 1003700436 · NPPES record last updated Jun 9, 2025
Key facts
- NPI
- 1003700436
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 19381 Oil Center Rd
Custar, OH 43511-9751 - Phone
- (937) 844-7874
- NPI assigned
- Jun 9, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Yes |
Addresses
Primary practice location
19381 Oil Center Rd
Custar, OH 43511-9751
Mailing address
19381 Oil Center Rd
Custar, OH 43511-9751
Phone (937) 844-7874
Other providers in Custar, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.