Provider Demographics
NPI:1619773603
Name:RAINEY, SAMANTHA DAWN
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:DAWN
Last Name:RAINEY
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 1:8160 LINDBERG ST
Mailing Address - Street 2:
Mailing Address - City:MASURY
Mailing Address - State:OH
Mailing Address - Zip Code:44438-1222
Mailing Address - Country:US
Mailing Address - Phone:330-550-0331
Mailing Address - Fax:
Practice Address - Street 1:8160 LINDBERG ST
Practice Address - Street 2:
Practice Address - City:MASURY
Practice Address - State:OH
Practice Address - Zip Code:44438-1222
Practice Address - Country:US
Practice Address - Phone:330-550-0331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker