Healthcare Provider Details

I. General information

NPI: 1164387585
Provider Name (Legal Business Name): JEFFREY EDWARD SOMOGYI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

560 MCKINLEY LN
DELAWARE OH
43015-1142
US

IV. Provider business mailing address

994 TIMBER LN
WOOSTER OH
44691-1762
US

V. Phone/Fax

Practice location:
  • Phone: 330-464-8313
  • Fax:
Mailing address:
  • Phone: 330-231-2620
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: