Healthcare Provider Details

I. General information

NPI: 1235792151
Provider Name (Legal Business Name): MRS. SENIA M ESCALERA RIVERA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SENIA M ESCALERA RIVERA INDEPENDENT PROVIDER

II. Dates (important events)

Enumeration Date: 04/16/2019
Last Update Date: 06/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

833 MERCER ST
YOUNGSTOWN OH
44502-1525
US

IV. Provider business mailing address

833 MERCER ST
YOUNGSTOWN OH
44502-1525
US

V. Phone/Fax

Practice location:
  • Phone: 484-626-6275
  • Fax:
Mailing address:
  • Phone: 484-626-6275
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171R00000X
TaxonomyInterpreter
License Number
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code374T00000X
TaxonomyReligious Nonmedical Nursing Personnel
License Number
License Number StateOH
# 5
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateOH
# 6
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: