Provider Demographics
NPI:1376780338
Name:HARDING, ARVILLA MAE
Entity Type:Individual
Prefix:MRS
First Name:ARVILLA
Middle Name:MAE
Last Name:HARDING
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 1:4795 MAPLE GROVE RD SE
Mailing Address - Street 2:
Mailing Address - City:UHRICHSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44683-1349
Mailing Address - Country:US
Mailing Address - Phone:740-922-5509
Mailing Address - Fax:740-922-5509
Practice Address - Street 1:4795 MAPLE GROVE RD SE
Practice Address - Street 2:
Practice Address - City:UHRICHSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44683-1349
Practice Address - Country:US
Practice Address - Phone:740-922-5509
Practice Address - Fax:740-922-5509
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-13
Last Update Date:2009-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRNO41981372500000X, 373H00000X, 374U00000X, 376J00000X, 376K00000X, 372600000X, 343800000X, 347C00000X, 343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No372500000XNursing Service Related ProvidersChore Provider
No373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist
No376J00000XNursing Service Related ProvidersHomemaker
No376K00000XNursing Service Related ProvidersNurse's Aide
No372600000XNursing Service Related ProvidersAdult Companion
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)