Provider Demographics
NPI:1881374007
Name:VANHORN, TODD ALAN (CHHA/CHMA/IP)
Entity type:Individual
Prefix:
First Name:TODD
Middle Name:ALAN
Last Name:VANHORN
Suffix:
Gender:M
Credentials:CHHA/CHMA/IP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6111 S STATE ROUTE 555
Mailing Address - Street 2:
Mailing Address - City:CHESTERHILL
Mailing Address - State:OH
Mailing Address - Zip Code:43728-9793
Mailing Address - Country:US
Mailing Address - Phone:740-350-8382
Mailing Address - Fax:740-554-5103
Practice Address - Street 1:6111 S STATE ROUTE 555
Practice Address - Street 2:
Practice Address - City:CHESTERHILL
Practice Address - State:OH
Practice Address - Zip Code:43728-9793
Practice Address - Country:US
Practice Address - Phone:740-350-8382
Practice Address - Fax:740-554-5103
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-21
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker