Provider Demographics
NPI:1780475897
Name:HOOVER, DANIELLE ROSE
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:ROSE
Last Name:HOOVER
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 1:46652 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:JACOBSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43933-8712
Mailing Address - Country:US
Mailing Address - Phone:740-827-4220
Mailing Address - Fax:
Practice Address - Street 1:46652 MAIN ST
Practice Address - Street 2:
Practice Address - City:JACOBSBURG
Practice Address - State:OH
Practice Address - Zip Code:43933-8712
Practice Address - Country:US
Practice Address - Phone:740-827-4220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-16
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant