Provider Demographics
NPI:1609377076
Name:HOWARD, RHONDA
Entity type:Individual
Prefix:MRS
First Name:RHONDA
Middle Name:
Last Name:HOWARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3553 CREEK MEADOWS DR
Mailing Address - Street 2:
Mailing Address - City:PICKERINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43147-9393
Mailing Address - Country:US
Mailing Address - Phone:614-868-3883
Mailing Address - Fax:
Practice Address - Street 1:3553 CREEK MEADOWS DR
Practice Address - Street 2:
Practice Address - City:PICKERINGTON
Practice Address - State:OH
Practice Address - Zip Code:43147-9393
Practice Address - Country:US
Practice Address - Phone:614-868-3883
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-21
Last Update Date:2018-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0185797Medicaid
OH0000241318OtherDEPARTMENT OF DEVELOPMENTAL DISABILITIES (DODD)