Healthcare Provider Details

I. General information

NPI: 1528297025
Provider Name (Legal Business Name): RHINO31 INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2009
Last Update Date: 07/07/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13 S 3RD ST
WATERVILLE OH
43566-1414
US

IV. Provider business mailing address

13 S 3RD ST
WATERVILLE OH
43566-1414
US

V. Phone/Fax

Practice location:
  • Phone: 419-794-1090
  • Fax: 419-794-4731
Mailing address:
  • Phone: 419-794-1090
  • Fax: 419-794-4731

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. ROBERT J. HOORMAN
Title or Position: OWNER
Credential:
Phone: 419-794-1090