MEDICARE: KAREN RELLAR

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	343900000X	Non-emergency Medical Transport (VAN)
2	376J00000X	Homemaker		OH

Other Identifiers

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

General Provider Information

NPI Number	:	1750970828
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN RELLAR

Provider Business Mailing Address
First Line	:	2661 SHAKER VILLAGE DR
Second Line	:
City	:	NORTH BEND
State	:	OH
Zip	:	45052-9638
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2661 SHAKER VILLAGE DR
Second Line	:
City	:	NORTH BEND
State	:	OH
Zip	:	45052-9638
Country	:	US
Telephone Number	:	513-313-3627
Fax Number	:

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

Provider Enumeration Date	:	01/13/2021
Last Update Date	:	01/13/2021

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Directions to “ KAREN RELLAR ” Practice Location

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