MEDICARE: MITCHELL RHOADES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	253Z00000X	In Home Supportive Care Agency
2	347C00000X	Private Vehicle
3	347E00000X	Transportation Broker	OH
4	3747P1801X	Personal Care Attendant	OH

General Provider Information

NPI Number	:	1689523557
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MITCHELL RHOADES

Provider Business Mailing Address
First Line	:	2737 SR 571
Second Line	:
City	:	GREENVILLE
State	:	OH
Zip	:	45331-9426
Country	:	US
Telephone Number	:	937-418-4790
Fax Number	:

Provider Business Practice Location Address
First Line	:	2737 SR 571
Second Line	:
City	:	GREENVILLE
State	:	OH
Zip	:	45331-9426
Country	:	US
Telephone Number	:	937-418-4790
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/24/2026
Last Update Date	:	01/24/2026

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Directions to “ MITCHELL RHOADES ” Practice Location

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