Healthcare Provider Details

I. General information

NPI: 1164120762
Provider Name (Legal Business Name): AILEEN K SCHWARZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/22/2023
Last Update Date: 02/22/2023
Certification Date: 02/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1934 12TH ST SW
AKRON OH
44314-3022
US

IV. Provider business mailing address

1934 12TH ST SW
AKRON OH
44314-3022
US

V. Phone/Fax

Practice location:
  • Phone: 720-231-2185
  • Fax:
Mailing address:
  • Phone: 720-231-2185
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateNULL
# 4
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License NumberUN203750
License Number StateOH
# 5
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: