Jacquelyn Nicole Mrofchak

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

1656 Roberts LN NE
Warren, OH 44483-3620

Phone

(330) 610-4631

NPI assigned

Jan 17, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Jacci Roberts Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1508627597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1656 ROBERTS LN NE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444833620",
            "telephone_number": "330-610-4631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1656 ROBERTS LN NE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444833620",
            "telephone_number": "330-610-4631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MROFCHAK",
        "first_name": "JACQUELYN",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACCI",
            "last_name": "ROBERTS",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David Robert Motz, PHARM D.
• Amber Mowen, LPCC
• Dean Moyer
• Jacqueline M Moyer, LPN
• Ryan Moyer, RBT
• Mikalyn Alexa Mrozek, M.ED., ED.S.
• Douglas Muccio, PH.D
• Tracy Muccio
• Mujib Rahman MD Medical Clinic LLC
• Tammy Mullen

• Home Health Aide in Warren, OH
• Providers in Warren, OH by specialty
• Home Health Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.