Healthcare Provider Details

I. General information

NPI: 1770400863
Provider Name (Legal Business Name): LYNDSEY L HUMMELL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19120 TOWNSHIP ROAD 450
COSHOCTON OH
43812-9425
US

IV. Provider business mailing address

19120 TOWNSHIP ROAD 450
COSHOCTON OH
43812-9425
US

V. Phone/Fax

Practice location:
  • Phone: 740-610-6846
  • Fax:
Mailing address:
  • Phone: 740-610-6846
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: