Healthcare Provider Details

I. General information

NPI: 1124710579
Provider Name (Legal Business Name): SHARON ROKICH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/24/2023
Last Update Date: 05/24/2023
Certification Date: 05/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5342 JULMAR DR
CINCINNATI OH
45238-3611
US

IV. Provider business mailing address

5342 JULMAR DR
CINCINNATI OH
45238-3611
US

V. Phone/Fax

Practice location:
  • Phone: 513-451-0061
  • Fax:
Mailing address:
  • Phone: 513-451-0061
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: