Provider Demographics
NPI:1023874815
Name:PLAIN COUNTRY CARE
Entity type:Organization
Organization Name:PLAIN COUNTRY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:R
Authorized Official - Last Name:HAWK
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:440-812-3126
Mailing Address - Street 1:16172 THOMPSON RD
Mailing Address - Street 2:
Mailing Address - City:THOMPSON
Mailing Address - State:OH
Mailing Address - Zip Code:44086-9750
Mailing Address - Country:US
Mailing Address - Phone:440-812-3126
Mailing Address - Fax:
Practice Address - Street 1:16172 THOMPSON RD
Practice Address - Street 2:
Practice Address - City:THOMPSON
Practice Address - State:OH
Practice Address - Zip Code:44086-9750
Practice Address - Country:US
Practice Address - Phone:440-812-3126
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-28
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health