Provider Demographics
NPI:1215721840
Name:RUMPH, JANEEN M
Entity type:Individual
Prefix:
First Name:JANEEN
Middle Name:M
Last Name:RUMPH
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 POTOMAC DR
Mailing Address - Street 2:
Mailing Address - City:ELYRIA
Mailing Address - State:OH
Mailing Address - Zip Code:44035-4421
Mailing Address - Country:US
Mailing Address - Phone:440-610-1329
Mailing Address - Fax:
Practice Address - Street 1:107 POTOMAC DR
Practice Address - Street 2:
Practice Address - City:ELYRIA
Practice Address - State:OH
Practice Address - Zip Code:44035-4421
Practice Address - Country:US
Practice Address - Phone:440-610-1329
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-08
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care