Provider Demographics
NPI:1700673316
Name:MCNEIL, MELISSA
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:MCNEIL
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 1:162 BOLT ST
Mailing Address - Street 2:
Mailing Address - City:RAWSON
Mailing Address - State:OH
Mailing Address - Zip Code:45881-9761
Mailing Address - Country:US
Mailing Address - Phone:419-581-1492
Mailing Address - Fax:
Practice Address - Street 1:162 BOLT ST
Practice Address - Street 2:
Practice Address - City:RAWSON
Practice Address - State:OH
Practice Address - Zip Code:45881-9761
Practice Address - Country:US
Practice Address - Phone:419-581-1492
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-24
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care
No376J00000XNursing Service Related ProvidersHomemaker
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251E00000XAgenciesHome Health
No332U00000XSuppliersHome Delivered Meals
No372500000XNursing Service Related ProvidersChore Provider
No372600000XNursing Service Related ProvidersAdult Companion
No172A00000XOther Service ProvidersDriver
No174200000XOther Service ProvidersMeals
No177F00000XOther Service ProvidersLodging