1. Home
  2. Directory
  3. Ohio
  4. Stout
  5. Technician
  6. NPI Profile

SUMMER STAR WALLACE
NPI 1629956396
Technician - Personal Care Attendant in Stout, OH

Active since August 21, 2025
544 W FORK RD, STOUT, OH 45684(937) 421-5881 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Summer Star Wallace NPPES

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

SUMMER STAR WALLACE (NPI 1629956396) is an individual personal care attendant in Stout, Ohio and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1629956396
Entity TypeIndividual
Primary Taxonomy3747P1801X
Provider Legal NameSUMMER STAR WALLACE
Location Address544 W FORK RDStout, OH 45684-9654
Mailing Address544 W Fork RdStout, OH 45684-9654 · (937) 421-5881
Phone(937) 421-5881
Sole ProprietorNo
Enumeration DateAugust 21, 2025
NPPES CertifiedAugust 21, 2025
✔ NPI 1629956396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
544 W FORK RD, Stout, OH 45684
Open in Google Maps ↗

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 Summer Wallace's NPI number?

The NPI number for Summer Wallace is 1629956396. It was assigned to this individual provider in the NPPES registry on August 21, 2025.

Where is Summer Wallace located?

Summer Wallace practices at 544 W Fork Rd, Stout, OH 45684. The listed phone number is (937) 421-5881.

What is Summer Wallace's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Summer Wallace was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.