Provider Demographics
NPI:1932518990
Name:REBECCA DENLINGER
Entity Type:Organization
Organization Name:REBECCA DENLINGER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HHA, PCA
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:DENLINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-290-6611
Mailing Address - Street 1:6004 DEERFIELD RD
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45150-2216
Mailing Address - Country:US
Mailing Address - Phone:513-290-6611
Mailing Address - Fax:
Practice Address - Street 1:6004 DEERFIELD RD
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:OH
Practice Address - Zip Code:45150-2216
Practice Address - Country:US
Practice Address - Phone:513-290-6611
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-04
Last Update Date:2014-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3125951Medicaid