Provider Demographics
NPI:1881567923
Name:MAINS, RONALD JAMES
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:JAMES
Last Name:MAINS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13301 MAPLE BROOK TRL
Mailing Address - Street 2:
Mailing Address - City:STRONGSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44136-2729
Mailing Address - Country:US
Mailing Address - Phone:440-212-5128
Mailing Address - Fax:
Practice Address - Street 1:13301 MAPLE BROOK TRL
Practice Address - Street 2:
Practice Address - City:STRONGSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44136-2729
Practice Address - Country:US
Practice Address - Phone:440-212-5128
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-25
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRT726668374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide