Provider Demographics
NPI:1962531996
Name:JODIE SCHRENKER HOME HEALTH CARE SERVICES
Entity type:Organization
Organization Name:JODIE SCHRENKER HOME HEALTH CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NON-AIDE
Authorized Official - Prefix:MRS
Authorized Official - First Name:JODIE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SCHRENKER
Authorized Official - Suffix:
Authorized Official - Credentials:NON-AIDE
Authorized Official - Phone:513-476-0667
Mailing Address - Street 1:2148 CARDINAL DR
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45014-5704
Mailing Address - Country:US
Mailing Address - Phone:513-738-0197
Mailing Address - Fax:513-738-0197
Practice Address - Street 1:2148 CARDINAL DR
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:OH
Practice Address - Zip Code:45014-5704
Practice Address - Country:US
Practice Address - Phone:513-738-0197
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2592985Medicaid