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).

About Mika Derifield NPPES

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

MIKA DERIFIELD (NPI 1700323631) is an individual nursing facility/intermediate care facility provider in Wadsworth, Ohio and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1700323631
Entity TypeIndividualFemale
Primary Taxonomy313M00000X
Provider Legal NameMIKA DERIFIELD
Location Address205 S PARDEE STWadsworth, OH 44281-1465
Mailing Address12379 Valley View DrChesterland, OH 44026-2456 · (330) 696-9066
Sole ProprietorYes
Enumeration DateJanuary 30, 2017
Last NPPES UpdateApril 9, 20202 updates tracked since enumeration
NPPES CertifiedApril 9, 2020
NPI 1700323631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
Definition

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.

205 S PARDEE ST, Wadsworth, OH 44281

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.