Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Theodoria Russ, STNA

Individual provider Home Health Aide · NPI 1417467150

Theodoria Russ, STNA is a Home Health Aide in Youngstown, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2017
Specialties on file
2

Practice location Address checks out

349 Cabot St
Youngstown, OH 44509-1405
Phone: (330) 792-7629
Fax: (330) 782-7858
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Aide (primary) Taxonomy 374U00000X
Home Health Aide Taxonomy 374U00000X · Licence 375819830896 (OH)

Record details

NPI number1417467150
Entity typeIndividual (Type 1)
GenderFemale
Credentials STNA
Sole proprietorYes
NPI enumeratedOctober 9, 2017
Last updated in NPPESOctober 9, 2017

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