Individual provider Active NPI

Arwan Raquon Mont- Clinkscale

  • Home Health Aide
  • Youngstown, OH
National Provider Identifier
1033065990
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
44 N Dunlap Ave
Youngstown, OH 44509-2021
Phone
(330) 360-3179
NPI assigned
Mar 4, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X OH Primary

Addresses

Primary practice location

44 N Dunlap Ave
Youngstown, OH 44509-2021

Mailing address

44 N Dunlap Ave
Youngstown, OH 44509-2021
Phone (330) 360-3179

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1772582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1033065990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 N DUNLAP AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445092021",
            "telephone_number": "330-360-3179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 N DUNLAP AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445092021",
            "telephone_number": "330-360-3179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONT- CLINKSCALE",
        "first_name": "ARWAN",
        "middle_name": "RAQUON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-03-04",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.