Healthcare Provider Details

I. General information

NPI: 1194689067
Provider Name (Legal Business Name): ROWAN GEALICHUAIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3044 N MAIN ST
MANSFIELD OH
44903-7823
US

IV. Provider business mailing address

3044 N MAIN ST
MANSFIELD OH
44903-7823
US

V. Phone/Fax

Practice location:
  • Phone: 567-307-5173
  • Fax:
Mailing address:
  • Phone: 567-307-5173
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: