Healthcare Provider Details

I. General information

NPI: 1578496808
Provider Name (Legal Business Name): REBEKKA COPELAND
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2863 COLERAIN AVE
CINCINNATI OH
45225-2205
US

IV. Provider business mailing address

2863 COLERAIN AVE
CINCINNATI OH
45225-2205
US

V. Phone/Fax

Practice location:
  • Phone: 513-224-1956
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number520634
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: