Healthcare Provider Details

I. General information

NPI: 1023926490
Provider Name (Legal Business Name): MR. BRANDON DEAN RORK
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2701 E TOWER DR APT 201
CINCINNATI OH
45238-2634
US

IV. Provider business mailing address

2701 E TOWER DR APT 201
CINCINNATI OH
45238-2634
US

V. Phone/Fax

Practice location:
  • Phone: 513-371-6776
  • Fax:
Mailing address:
  • Phone: 513-371-6776
  • 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: