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Deactivated NPI 1063012342 Deactivated / Inactive NPI Male Practitioner

Norman E Mack

Homemaker • Ravenna, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Norman Mack has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 27, 2020
NPI Deactivation Date February 22, 2021
Total Practice Duration ~1 Years of Practice (2020 – 2021)

Professional Overview & Biography Verified Profile Summary

Norman Mack was a registered Homemaker practicing in Ravenna, OH. Throughout an active medical career spanning 1 years, Norman Mack provided care at the practice location at 8259 STTE ROUTE 88-A until profile deactivation on 2021-02-22.

Practice Location & Contact Primary Location

Practice Address

8259 Stte Route 88-A

Ravenna, OH 442669158

Telephone 3302960502

Specialty Benchmarks & Practice Insights

Comparative analytics for Homemaker in Ravenna, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
41 Specialists

Practicing in Ravenna, OH (6779 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Homemaker Primary Specialty

NUCC Taxonomy Code: 376J00000X

An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 22, 2021

Record deactivated on February 22, 2021

NPI Profile Active October 27, 2020

NPI status registered as active in NPPES database

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Updated Practice Location October 27, 2020

Registered at 8259 STTE ROUTE 88-A, RAVENNA, OH 442669158 (Tel: 3302960502)

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Updated Business Mailing Address October 27, 2020

Registered at 8259 STATE ROUTE 88, RAVENNA, OH 442669158 (Tel: 3302960322)

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Provider Name / Credentials Updated October 27, 2020

Recorded as NORMAN MACK

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 27, 2020

Homemaker

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Initial NPI Registration & Enumeration October 27, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063012342
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 27, 2020
Last Update: October 27, 2020
Deactivation Date: February 22, 2021

Mailing Address

8259 State Route 88

Ravenna, OH 442669158

Phone: 3302960322

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.