Healthcare Provider Details

I. General information

NPI: 1053120923
Provider Name (Legal Business Name): MARION TIARA GREER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/04/2025
Last Update Date: 01/06/2025
Certification Date: 01/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2316 ONTARIO ST
COLUMBUS OH
43211-2005
US

IV. Provider business mailing address

2316 ONTARIO ST
COLUMBUS OH
43211-2005
US

V. Phone/Fax

Practice location:
  • Phone: 614-537-3223
  • Fax:
Mailing address:
  • Phone: 614-537-3223
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: