Coates, Tischa Elaine

Coates, Tischa Elaine is an sole proprietor health care provider with primary practice located at 4661 Merrick Dr , Dayton OH 45415-3354. She recently has 6 registered licenses in different health care specialties including Agencies / Supports Brokerage, Nursing Service Related Providers / Chore Provider, Nursing Service Related Providers / Homemaker, Respite Care Facility / Respite Care, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities, Nursing Service Related Providers / Personal Care Attendant. Nursing Service Related Providers / Personal Care Attendant is her primary health care specialty. Coates, Tischa Elaine can be contacted via phone (937) 245-2642.

Contact Information

Primary practice address
4661 Merrick Dr Dayton OH 45415-3354
Phone: (937) 245-2642
Fax: (937) 278-9418
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Supports Brokerage 251X00000X Ohio
Nursing Service Related Providers / Chore Provider 372500000X Ohio
Nursing Service Related Providers / Homemaker 376J00000X Ohio
Respite Care Facility / Respite Care 385H00000X
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X Ohio
Nursing Service Related Providers / Personal Care Attendant 3747P1801X Ohio

Profile Details

NPI number 1093324881
LBN Legal business name Coates, Tischa Elaine
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2020
Last updated Jul 28th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093324881 NPPES
Ohio MEDICAID 0241240

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