MEDICARE: SAMANTHA J POPOVICH CPHT

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	251S00000X	Community/Behavioral Health Agency
2	251B00000X	Case Management Agency
3	343900000X	Non-emergency Medical Transport (VAN)
4	332B00000X	Durable Medical Equipment & Medical Supplies
5	251K00000X	Public Health or Welfare Agency
6	251X00000X	Supports Brokerage Agency
7	347E00000X	Transportation Broker
8	174H00000X	Health Educator
9	376J00000X	Homemaker
10	372500000X	Chore Provider
11	385H00000X	Respite Care
12	183700000X	Pharmacy Technician	09305972	OH
13	372600000X	Adult Companion
14	172V00000X	Community Health Worker

General Provider Information

NPI Number	:	1831870062
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMANTHA J POPOVICH CPHT

Provider Business Mailing Address
First Line	:	1162 OXFORD CIR
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44312-4691
Country	:	US
Telephone Number	:	419-202-3368
Fax Number	:

Provider Business Practice Location Address
First Line	:	1162 OXFORD CIR
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44312-4691
Country	:	US
Telephone Number	:	419-202-3368
Fax Number	:

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

Provider Enumeration Date	:	07/31/2023
Last Update Date	:	03/06/2026

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