JEANINE MARIE PHARES ISP NPI 1629671136

NPI Information

NPI: 1629671136
Provider Name: JEANINE MARIE PHARES, ISP
Classification: Home Health Aide - 374U00000X
Entity Type: Individual
Address:
836 XENIA AVE
XENIA, OH
ZIP 45385
Phone: (937) 768-0559
Get Directions

Jeanine Marie Phares, ISP is a home health aide in Xenia, OH. The provider is a person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. Jeanine Marie Phares, ISP NPI is 1629671136. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

836 XENIA AVE
XENIA, OH
ZIP 45385-158
Phone: (937) 768-0559

The enumeration date for this NPI number is 11/17/2020 and was last updated on 11/17/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	374U00000X	Home Health Aide	RQ540121	OHIO	Yes
2	374U00000X	Home Health Aide		OHIO	No
3	376J00000X	Homemaker	RQ540121	OHIO	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	109402347899	MEDICAID	OHIO
2	2-10086	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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