Healthcare Provider Details

I. General information

NPI: 1154919157
Provider Name (Legal Business Name): ROBIN SHAMBURGER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2021
Last Update Date: 01/09/2025
Certification Date: 01/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1105 HANCOCK AVE
AKRON OH
44314-1064
US

IV. Provider business mailing address

345 WASHINGTON AVE
BARBERTON OH
44203-2830
US

V. Phone/Fax

Practice location:
  • Phone: 330-502-1472
  • Fax:
Mailing address:
  • Phone: 330-502-1472
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberRQ147425
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: