Provider Demographics
NPI:1679386064
Name:RODGERS, ROXCEYA E
Entity type:Individual
Prefix:
First Name:ROXCEYA
Middle Name:E
Last Name:RODGERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13208 HAVANA RD
Mailing Address - Street 2:
Mailing Address - City:GARFIELD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44125-5138
Mailing Address - Country:US
Mailing Address - Phone:216-688-8244
Mailing Address - Fax:
Practice Address - Street 1:13208 HAVANA RD
Practice Address - Street 2:
Practice Address - City:GARFIELD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44125-5138
Practice Address - Country:US
Practice Address - Phone:216-688-8244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-29
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care