Healthcare Provider Details

I. General information

NPI: 1649116708
Provider Name (Legal Business Name): NEVAEH WOODS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5634 TOWNSHIP ROAD 213
MARENGO OH
43334-9630
US

IV. Provider business mailing address

5634 TOWNSHIP ROAD 213
MARENGO OH
43334-9630
US

V. Phone/Fax

Practice location:
  • Phone: 419-560-2474
  • Fax:
Mailing address:
  • Phone: 419-560-2474
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: