Provider Demographics
NPI:1528234879
Name:HIERONYMUS, RHONDA JILL
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:JILL
Last Name:HIERONYMUS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 S LOCUST ST
Mailing Address - Street 2:
Mailing Address - City:SWEET SPRINGS
Mailing Address - State:MO
Mailing Address - Zip Code:65351-1308
Mailing Address - Country:US
Mailing Address - Phone:660-335-2292
Mailing Address - Fax:
Practice Address - Street 1:405 S LOCUST ST
Practice Address - Street 2:
Practice Address - City:SWEET SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:65351-1308
Practice Address - Country:US
Practice Address - Phone:660-335-2292
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-07
Last Update Date:2008-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider
No132700000XDietary & Nutritional Service ProvidersDietary Manager
No146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic
No177F00000XOther Service ProvidersLodging
No372500000XNursing Service Related ProvidersChore Provider
No372600000XNursing Service Related ProvidersAdult Companion
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No376J00000XNursing Service Related ProvidersHomemaker
No376K00000XNursing Service Related ProvidersNurse's Aide