Provider Demographics
NPI:1134929813
Name:KIMMEL, JONI
Entity type:Individual
Prefix:
First Name:JONI
Middle Name:
Last Name:KIMMEL
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 1:3671 WINDJAMMER CV
Mailing Address - Street 2:
Mailing Address - City:REMINDERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44202-9058
Mailing Address - Country:US
Mailing Address - Phone:440-991-6338
Mailing Address - Fax:
Practice Address - Street 1:3671 WINDJAMMER CV
Practice Address - Street 2:
Practice Address - City:REMINDERVILLE
Practice Address - State:OH
Practice Address - Zip Code:44202-9058
Practice Address - Country:US
Practice Address - Phone:440-991-6338
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-13
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care
No253Z00000XAgenciesIn Home Supportive Care