Healthcare Provider Details

I. General information

NPI: 1306762802
Provider Name (Legal Business Name): JOHN PRICE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1093 RUTGERS CT
PAINESVILLE OH
44077-5269
US

IV. Provider business mailing address

1093 RUTGERS CT
PAINESVILLE OH
44077-5269
US

V. Phone/Fax

Practice location:
  • Phone: 216-509-2034
  • Fax:
Mailing address:
  • Phone: 216-509-2034
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: