MR. NORMAN E MACK JR. (NPI# 1063012342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063012342 |
| Entity Type | Individual |
| Full Name | MR. NORMAN E MACK JR. |
| Practice Address |
8259 Stte Route 88-a Ravenna OH 44266-9158 |
| Mailing Address |
8259 State Route 88 Ravenna OH 44266-9158 |
| Practice Telephone | 3302960502 |
| Mailing Telephone | 3302960322 |
| Mailing Fax Number | 3302960322 |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376J00000X | Homemaker | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2085265 | 05 |
| Street Address |
8259 STTE ROUTE 88-A |
| City | RAVENNA |
| State | OH |
| Zip Code | 44266-9158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407409501 | Jeffrey Michael Jones | Hearing Instrument Specialist | 131 E. Hain St Beltone Hearing Care Center, Ravenna, OH 44266 | 2019-07-18 |
| 1285286443 | Robert Ailes Lax | Counselor | 246 S. Chestnut St., Ravenna, OH 44266 | 2019-07-09 |
| 1841792314 | Jason Troyer | Case Manager/Care Coordinator | 3920 Lover's Lane, Ravenna, OH 44266 | 2018-03-01 |
| 1316446370 | Jacquelin Grace Claren | Case Manager/Care Coordinator | 3920 Lovers Lane, Ravenna, OH 44266 | 2018-02-06 |
| 1164921318 | Tammy M Morris | Counselor | 4771 Washington Ave., Ravenna, OH 44266 | 2018-02-02 |
| 1306360219 | Megan Kathryn Marsh | Nurse Practitioner | 3215 Menough Rd, Ravenna, OH 44266 | 2017-08-01 |
| 1063875110 | Mary Kathryn Revello | Home Health Aide | 103 N.scycamore St, Ravenna 44266, OH 44266 | 2016-04-05 |
| 1396114302 | Theresa Brooks Kotlar | Registered Nurse | 7174 Colonial Place, Ravenna, OH 44266 | 2015-09-20 |
| 1811384118 | Okap Kwon Md Inc | Internal Medicine | 964 East Main Street, Ravenna, OH 44266 | 2015-04-24 |
| 1104223783 | Julie Winkler | Speech-Language Pathologist | 639 W. Main St, Ravenna, OH 44266 | 2014-11-26 |
| Find all providers in zip 44266 | ||||
| Taxonomy Code | 376J00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Homemaker |
| An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards. |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386245504 | Patricia Rose Mack | Homemaker | 8259 State Route 88, Ravenna, OH 44266-9158 | 2020-11-04 |
| 1558978072 | Robert Basel Jr. | Homemaker | 6489 State Route 303, Ravenna, OH 44266-9140 | 2020-09-29 |
| 1750639811 | Kate Weckerly | Homemaker | 161 E Main St, Ravenna, OH 44266-3129 | 2012-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083215750 | Anna Lisa Smith | Homemaker | 399 Meacham Rd, Ray, OH 45672-9610 | 2020-11-08 |
| 1639770308 | Kathy Schackmann | Homemaker | 2836 Fairways Dr, Fairfield Twp, OH 45011-8259 | 2020-11-08 |
| 1073114773 | Eric Johnson | Homemaker | 283 Grandview Ave, Wadsworth, OH 44281-1160 | 2020-11-08 |
| 1699376483 | Angela Lynn Evans | Homemaker | 4977 Rye Dr, Huber Heights, OH 45424-4332 | 2020-11-06 |
| 1881295673 | Amy Bryant | Homemaker | 506 Attica St, Vandalia, OH 45377-1812 | 2020-11-06 |
| 1831790872 | Sharon Lynn Werner | Homemaker | 6792 Keeneland Way, Mason, OH 45040-3420 | 2020-11-05 |
| 1821699703 | Dora Suella Blevins | Homemaker | 1929 Connecticut Dr, Xenia, OH 45385-4519 | 2020-11-05 |
| 1255932208 | Sherry Adams Mehaffey | Homemaker | 1706 Shepherd Fork Rd, West Portsmouth, OH 45663-9037 | 2020-11-05 |
| 1497356448 | Connie Rhnea Hubbard | Homemaker | 290 S Washington Blvd, Hamilton, OH 45013-3548 | 2020-11-05 |
| 1528669801 | Karing for You LLC | Homemaker | 1296 E Tallmadge Ave, Akron, OH 44310-3643 | 2020-11-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.