Individual provider Active NPI

Rhoda Vashti Peal-Marsh

  • In Home Supportive Care Agency
  • Reynoldsburg, OH
National Provider Identifier
1700620754
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Practice address
2011 Lublin Dr Apt C
Reynoldsburg, OH 43068-3164
Phone
(612) 483-9674
NPI assigned
Jun 24, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2011 Lublin Dr Apt C
Reynoldsburg, OH 43068-3164

Mailing address

2011 Lublin Dr Apt C
Reynoldsburg, OH 43068-3164
Phone (612) 483-9674

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": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1700620754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 LUBLIN DR APT C",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430683164",
            "telephone_number": "612-483-9674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 LUBLIN DR APT C",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430683164",
            "telephone_number": "612-483-9674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEAL-MARSH",
        "first_name": "RHODA",
        "middle_name": "VASHTI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reynoldsburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.