Tara Lynn Pennington

Individual provider Active NPI Personal Care Attendant · Middleport, OH

NPI 1609523752 · NPPES record last updated Sep 3, 2026

Key facts

NPI
1609523752
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
708 S 3Rd Ave
Middleport, OH 45760-1442
Phone
(740) 853-1175
NPI assigned
Mar 8, 2022
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)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

708 S 3Rd Ave
Middleport, OH 45760-1442

Mailing address

708 S 3Rd Ave
Middleport, OH 45760-1442
Phone (740) 853-1175

Other providers in Middleport, OH

All providers in Middleport, OH · Personal Care Attendant in Ohio

Sources for this page

Verify at the official NPI Registry.