Weaver-Spaulding, Latoria Chavell
Weaver-Spaulding, Latoria Chavell is an sole proprietor health care provider with primary practice located at 5440 Champion Creek Blvd , Medina OH 44256-6812. She recently has 6 registered licenses in different health care specialties including Other Service Providers / Driver, Agencies / In Home Supportive Care, Transportation Services / Non-emergency Medical Transport (VAN), Nursing Service Related Providers / Personal Care Attendant, Nursing Service Related Providers / Homemaker, Respite Care Facility / Respite Care Camp. Nursing Service Related Providers / Homemaker is her primary health care specialty. Weaver-Spaulding, Latoria Chavell can be contacted via phone (330) 400-9269.Contact Information
Primary practice address
5440 Champion Creek Blvd
Medina OH 44256-6812
Phone: (330) 400-9269
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Driver | 172A00000X | ||
| Agencies / In Home Supportive Care | 253Z00000X | ||
| Agencies / In Home Supportive Care | 253Z00000X | 7703999 | |
| Agencies / In Home Supportive Care | 253Z00000X | 7703999 | Ohio |
| Transportation Services / Non-emergency Medical Transport (VAN) | 343900000X | 7703999 | |
| Nursing Service Related Providers / Personal Care Attendant | 3747P1801X | ||
| Nursing Service Related Providers / Personal Care Attendant | 3747P1801X | 2409183 | Ohio |
| Nursing Service Related Providers / Homemaker | 376J00000X | ||
| Respite Care Facility / Respite Care Camp | 385HR2050X | 7703999 | |
| Nursing Service Related Providers / Homemaker | 376J00000X | 2409183 | Ohio |
Profile Details
| NPI number | 1790309946 |
|---|---|
| LBN Legal business name | Weaver-Spaulding, Latoria Chavell |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 3rd, 2020 |
| Last updated | Dec 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790309946 | NPPES |
| Ohio | MEDICAID | 770399 | |
| Ohio | MEDICAID | 7715155 |
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