THEODORIA RUSS STNA
NPI 1417467150
Home Health Aide in Youngstown, OH

Active since October 09, 2017
349 CABOT ST, YOUNGSTOWN, OH 44509(330) 792-7629(330) 782-7858 Get Directions Write a Review

NPPES record last updated: October 9, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Theodoria Russ Stna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THEODORIA RUSS STNA (NPI 1417467150) is an individual home health aide in Youngstown, Ohio, licensed in Ohio (375819830896) and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1417467150
Entity TypeIndividualFemale
Primary Taxonomy374U00000X
Provider Legal NameTHEODORIA RUSSCredential: STNA
Location Address349 CABOT STYoungstown, OH 44509-1405
Mailing Address349 Cabot StYoungstown, OH 44509-1405 · (330) 792-7629 · Fax (330) 782-7858
Fax(330) 782-7858
Sole ProprietorYes
Enumeration DateOctober 9, 2017
NPI 1417467150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome Health AideNursing Service Related Providers
Taxonomy Code374U00000X
License Licensed in OH · 375819830896
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
349 CABOT ST, Youngstown, OH 44509

Other Identifiers 2

OtherCS1725500OH · My Ohio Care Source
Medicaid0216072OH

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theodoria Russ's NPI number?

The NPI number for Theodoria Russ is 1417467150. It was assigned to this individual provider in the NPPES registry on October 9, 2017.

Where is Theodoria Russ located?

Theodoria Russ practices at 349 Cabot St, Youngstown, OH 44509. The listed phone number is (330) 792-7629.

What is Theodoria Russ's specialty?

The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.

When was this NPI record last updated?

The NPPES record for Theodoria Russ was last updated on October 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.