Rebecca Lynn Clark-Rodocker
Individual provider Active NPI Home Health Aide · Coshocton, OH
NPI 1336830892 · NPPES record last updated May 16, 2023
Key facts
- NPI
- 1336830892
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 108 Washington St
Coshocton, OH 43812-9372 - Phone
- (740) 202-2322
- NPI assigned
- May 16, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | |||
| Home Health Aide |
374U00000X | Yes |
Addresses
Primary practice location
108 Washington St
Coshocton, OH 43812-9372
Mailing address
108 Washington St
Coshocton, OH 43812-9372
Phone (740) 202-2322
Other providers in Coshocton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2023. 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.