Healthcare Provider Details

I. General information

NPI: 1962721126
Provider Name (Legal Business Name): JANET KAY MCCABE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2010
Last Update Date: 05/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 W HARDING RD APT E
SPRINGFIELD OH
45504-1720
US

IV. Provider business mailing address

510 W HARDING RD APT E
SPRINGFIELD OH
45504-1720
US

V. Phone/Fax

Practice location:
  • Phone: 937-399-7107
  • Fax:
Mailing address:
  • Phone: 937-399-7107
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberRN
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: