MEDICARE: NARADA D RATTLER SR.

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	3747A0650X	Attendant Care Provider
2	3747P1801X	Personal Care Attendant		OH

General Provider Information

NPI Number	:	1972446714
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NARADA D RATTLER SR.

Provider Business Mailing Address
First Line	:	1352 SMITH RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43207-1577
Country	:	US
Telephone Number	:	614-316-8076
Fax Number	:

Provider Business Practice Location Address
First Line	:	1352 SMITH RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43207-1577
Country	:	US
Telephone Number	:	614-316-8076
Fax Number	:

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

Provider Enumeration Date	:	04/14/2026
Last Update Date	:	04/14/2026

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