Provider Demographics
NPI:1518777663
Name:HOMAN, JAMIE H
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:H
Last Name:HOMAN
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:JAMIE HOMAN
Mailing Address - Street 2:60921 KEMP.RD
Mailing Address - City:BELMONT
Mailing Address - State:OH
Mailing Address - Zip Code:43718
Mailing Address - Country:US
Mailing Address - Phone:740-391-2838
Mailing Address - Fax:
Practice Address - Street 1:JAMIE HOMAN
Practice Address - Street 2:60921 KEMP.RD
Practice Address - City:BELMONT
Practice Address - State:OH
Practice Address - Zip Code:43718
Practice Address - Country:US
Practice Address - Phone:740-391-2838
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-10
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider