Cordelia L Boedeker, ASP
Individual provider Active NPI In Home Supportive Care Agency · Kingston, OH
NPI 1376463083 · NPPES record last updated Jul 21, 2026
Key facts
- NPI
- 1376463083
- Entity type
- Individual (NPI type 1)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- Practice address
- 35 N Oak St
Kingston, OH 45644-9799 - Phone
- (740) 464-5108
- NPI assigned
- Jul 21, 2026
- 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 |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | OH | Yes |
Addresses
Primary practice location
35 N Oak St
Kingston, OH 45644-9799
Mailing address
35 N Oak St
Kingston, OH 45644-9799
Other providers in Kingston, OH
- Lois Elaine Avery
- Jillian Noelle Ayers
- Brenda Barney
- Angela Jo Bell
- Tamira L Chapman
- Molly Clairemont
- Wilma Anne Clyne
- Sandy S Curtis
- Linda Sue Davis
All providers in Kingston, OH · In Home Supportive Care Agency in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2026. 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.