Healthcare Provider Details

I. General information

NPI: 1730746728
Provider Name (Legal Business Name): OAK STONE SCORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2019
Last Update Date: 06/17/2024
Certification Date: 04/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 KING ST
LANCASTER OH
43130-3021
US

IV. Provider business mailing address

110 KING ST
LANCASTER OH
43130-3021
US

V. Phone/Fax

Practice location:
  • Phone: 740-654-4250
  • Fax: 740-654-4254
Mailing address:
  • Phone: 740-654-4250
  • Fax: 740-654-4254

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name: ERICA DAWN BLOSSER
Title or Position: OWNER
Credential: RN
Phone: 740-654-4250