DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ELLEN HOMLONG PC, RD,LD,CDE

MEDICARE: ELLEN HOMLONG PC, RD,LD,CDE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered DietitianLD4671OH
2101YP2500XProfessional CounselorC.1300021OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063558294
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELLEN HOMLONG PC, RD,LD,CDE
Provider Business Mailing Address
First Line : 2655 HARLAND DR
Second Line :
City : HUDSON
State : OH
Zip : 44236-3257
Country : US
Telephone Number : 234-380-5250
Fax Number :
Provider Business Practice Location Address
First Line : 4641 FULTON DR NW
Second Line :
City : CANTON
State : OH
Zip : 44718-2384
Country : US
Telephone Number : 330-433-6075
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2007
Last Update Date : 12/05/2013

Similar Medicare Providers

1174831218 — CANTON PHYSICAL MEDICARE, LLC
Practice Location Address:
2050 CUMMING HWY , SUITE 100
CANTON, GA
30114-8614
Practice Phone: 770-345-9600
Practice Fax:
1104767458 — JAIME R KEYES
Practice Location Address:
4641 FULTON DR NW
CANTON, OH
44718-2384
Practice Phone: 330-433-6075
Practice Fax:
1619815214 — AVERY FAITH MANSE
Practice Location Address:
4641 FULTON DR NW
CANTON, OH
44718-2384
Practice Phone: 330-433-6075
Practice Fax: 330-494-0299
1073452728 — ZIPPORAH MOORE
Practice Location Address:
4641 FULTON DR NW
CANTON, OH
44718-2384
Practice Phone: 330-433-6075
Practice Fax:
1831172576 — CHILD AND ADOLESCENT BEHAVIORAL HEALTH
Practice Location Address:
4641 FULTON DR NW
CANTON, OH
44718-2384
Practice Phone: 330-433-6075
Practice Fax: 330-494-0299
1669575650 — GEORGENE R VOROS
Practice Location Address:
4641 FULTON DR NW
CANTON, OH
44718-2384
Practice Phone: 330-433-6075
Practice Fax:
1851494645 — MARY M. KREITZ
Practice Location Address:
4641 FULTON DR NW
CANTON, OH
44718-2384
Practice Phone: 330-433-6075
Practice Fax:

Directions to “ ELLEN HOMLONG PC, RD,LD,CDE” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.