Healthcare Provider Details

I. General information

NPI: 1154122018
Provider Name (Legal Business Name): RMONI LONG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/24/2025
Last Update Date: 03/24/2025
Certification Date: 03/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 PEERLESS AVE
AKRON OH
44320-3639
US

IV. Provider business mailing address

1001 PEERLESS AVE
AKRON OH
44320-3639
US

V. Phone/Fax

Practice location:
  • Phone: 330-860-3680
  • Fax: 330-860-3680
Mailing address:
  • Phone: 330-860-3680
  • Fax: 330-860-3680

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: