MEDICARE: MR. ROBERT LEE WHITFIELD III

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
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1326981366
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ROBERT LEE WHITFIELD III

Provider Business Mailing Address
First Line	:	912 BROER AVE
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43607-3012
Country	:	US
Telephone Number	:	419-205-8018
Fax Number	:

Provider Business Practice Location Address
First Line	:	912 BROER AVE
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43607-3012
Country	:	US
Telephone Number	:	419-205-8018
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2026
Last Update Date	:	04/13/2026

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