Healthcare Provider Details

I. General information

NPI: 1831870062
Provider Name (Legal Business Name): SAMANTHA J POPOVICH CPHT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2023
Last Update Date: 07/31/2023
Certification Date: 07/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1162 OXFORD CIR
AKRON OH
44312-4691
US

IV. Provider business mailing address

1162 OXFORD CIR
AKRON OH
44312-4691
US

V. Phone/Fax

Practice location:
  • Phone: 419-202-3368
  • Fax:
Mailing address:
  • Phone: 419-202-3368
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number09305972
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: