MEDICARE: JOANNA HOUSE II

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	175T00000X	Peer Specialist

General Provider Information

NPI Number	:	1932062692
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOANNA HOUSE II

Provider Business Mailing Address
First Line	:	387 W BARTGES ST
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44307-1931
Country	:	US
Telephone Number	:	234-678-9805
Fax Number	:

Provider Business Practice Location Address
First Line	:	342 E SOUTH ST
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44311-2165
Country	:	US
Telephone Number	:	234-678-9805
Fax Number	:

Authorized Official
Title or Position	:	BILLING SPECIALIST
Name	:	CHEVELLE SNYDER
Credential	:
Telephone Number	:	419-464-6907

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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Directions to “JOANNA HOUSE II ” Practice Location

Language	Start Address	Practice Location

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