Davenport, Tyraya

Davenport, Tyraya is an sole proprietor health care provider with primary practice located at 15235 Lake Shore Blvd , Cleveland OH 44110-1230. She recently has 5 registered licenses in different health care specialties including Other Service Providers / Driver, Agencies / In Home Supportive Care, Nursing Service Related Providers / Personal Care Attendant, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities, Nursing Service Related Providers / Homemaker. Nursing Service Related Providers / Homemaker is her primary health care specialty. Davenport, Tyraya can be contacted via phone (216) 203-0949.

Contact Information

Primary practice address
15235 Lake Shore Blvd Cleveland OH 44110-1230
Phone: (216) 203-0949
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X Ohio
Agencies / In Home Supportive Care 253Z00000X Ohio
Nursing Service Related Providers / Personal Care Attendant 3747P1801X Ohio
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X Ohio
Nursing Service Related Providers / Homemaker 376J00000X Ohio

Profile Details

NPI number 1225631864
LBN Legal business name Davenport, Tyraya
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 17th, 2020
Last updated Nov 17th, 2020 - about 4 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 1225631864 NPPES
Ohio MEDICAID 1831678

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