Healthcare Provider Details

I. General information

NPI: 1831035401
Provider Name (Legal Business Name): MS. INDIA ROGERS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1523 WOODLAND ST NE
WARREN OH
44483-5301
US

IV. Provider business mailing address

1523 WOODLAND ST NE
WARREN OH
44483-5301
US

V. Phone/Fax

Practice location:
  • Phone: 330-775-9274
  • Fax:
Mailing address:
  • Phone: 330-775-9274
  • 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: