MEDICARE: RENEE DOMINIQUE PILSON

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	SM949142	OH
2	376J00000X	Homemaker	SM949142	OH
3	3747P1801X	Personal Care Attendant	SM949142	OH

General Provider Information

NPI Number	:	1851246250
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RENEE DOMINIQUE PILSON

Provider Business Mailing Address
First Line	:	2903 NOEL DR
Second Line	:
City	:	YOUNGSTOWN
State	:	OH
Zip	:	44509-3025
Country	:	US
Telephone Number	:	234-817-4548
Fax Number	:

Provider Business Practice Location Address
First Line	:	2903 NOEL DR
Second Line	:
City	:	YOUNGSTOWN
State	:	OH
Zip	:	44509-3025
Country	:	US
Telephone Number	:	234-817-4548
Fax Number	:

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

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

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