MIKA DERIFIELD
NPI 1700323631
Nursing Facility/Intermediate Care Facility in Wadsworth, OH

Active since January 30, 2017
205 S PARDEE ST, WADSWORTH, OH 44281(330) 696-8539 Get Directions Write a Review

NPPES record last updated: April 9, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 9, 2020, Jan 30, 2017 (2 updates tracked since 2017).

  • Individual
  • Female
  • Nursing Facility/Intermediate Care Facil...

About MIKA DERIFIELD

This page provides the complete NPI Profile along with additional information for Mika Derifield, a provider established in Wadsworth, Ohio with a medical specialization in Nursing Facility/intermediate Care Facility. The healthcare provider is registered in the NPI registry with number 1700323631 assigned on January 2017. The practitioner's primary taxonomy code is 313M00000X. The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1700323631 Verify this NPI
Provider Name
MIKA DERIFIELD
Gender
Female
Entity Type
Individual
Location Address
205 S PARDEE ST WADSWORTH, OH 44281
Location Phone
(330) 696-8539
Mailing Address
12379 VALLEY VIEW DR CHESTERLAND, OH 44026
Mailing Phone
(330) 696-9066
Is Sole Proprietor?
Yes
Enumeration Date
01-30-2017
Last Update Date
04-09-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nursing Facility/Intermediate Care Facility

Taxonomy Code
313M00000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700323631, enumerated as an "individual" on January 30, 2017.

The provider is located at 205 S PARDEE ST WADSWORTH, OH 44281 and the phone number is (330) 696-8539.

Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.