Healthcare Provider Details

I. General information

NPI: 1790696326
Provider Name (Legal Business Name): THE ROOC CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2422 CANNONS PARK RD
TOLEDO OH
43617-1321
US

IV. Provider business mailing address

2422 CANNONS PARK RD
TOLEDO OH
43617-1321
US

V. Phone/Fax

Practice location:
  • Phone: 419-708-9898
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: THEODORE MARSHALL JR.
Title or Position: CEO/OWNER
Credential:
Phone: 419-708-9898