Healthcare Provider Details

I. General information

NPI: 1629956974
Provider Name (Legal Business Name): KAREN HOAGLIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2025
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12560 WENGER RD
ANNA OH
45302-9567
US

IV. Provider business mailing address

12560 WENGER RD
ANNA OH
45302-9567
US

V. Phone/Fax

Practice location:
  • Phone: 937-489-7039
  • Fax:
Mailing address:
  • Phone: 937-489-7039
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: