Healthcare Provider Details

I. General information

NPI: 1740101252
Provider Name (Legal Business Name): KATI SWAUGER
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 CHAPLINE ST RM 43
WHEELING WV
26003-2922
US

IV. Provider business mailing address

1100 CHAPLINE ST RM 43
WHEELING WV
26003-2922
US

V. Phone/Fax

Practice location:
  • Phone: 330-717-1728
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: