Healthcare Provider Details

I. General information

NPI: 1700627106
Provider Name (Legal Business Name): CATHERINE MARIE BEDINGHAUS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2024
Last Update Date: 06/01/2024
Certification Date: 06/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

362 STATE ROUTE 137
WINCHESTER OH
45697-9758
US

IV. Provider business mailing address

2209 MARTIN HILL RD
ABERDEEN OH
45101-9783
US

V. Phone/Fax

Practice location:
  • Phone: 937-203-7851
  • Fax:
Mailing address:
  • Phone: 937-203-7851
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: