Healthcare Provider Details

I. General information

NPI: 1528984820
Provider Name (Legal Business Name): JANET DENISE RAKESTRAW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3818 STORMONT RD
DAYTON OH
45426-2362
US

IV. Provider business mailing address

3818 STORMONT RD
DAYTON OH
45426-2362
US

V. Phone/Fax

Practice location:
  • Phone: 937-304-3803
  • Fax:
Mailing address:
  • Phone: 937-304-3803
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: