LATISHA CROCKETT (NPI# 1235543893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235543893 |
| Entity Type | Individual |
| Full Name | LATISHA CROCKETT |
| Practice Address |
320 Eldred Ave Toledo OH 43609-2135 |
| Practice Telephone | 4198102230 |
| Mailing Telephone | 4198102230 |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2014-06-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 400676531007 | OH | Nursing & Custodial Care Facilities |
| Street Address |
320 ELDRED AVE |
| City | TOLEDO |
| State | OH |
| Zip Code | 43609-2135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982186334 | Ciara Palmer | Licensed Practical Nurse | 2208 Dana St., Toledo, OH 43609 | 2018-09-02 |
| 1750738373 | Andreas Wilson | Contractor | 3416 Gibraltar Heights, Toledo, OH 43609 | 2016-05-24 |
| 1154780401 | Angel Rhunell Sawyer | Home Health Aide | 3459 Gibralter Heights Dr, Apt 05, Toledo, OH 43609 | 2016-02-15 |
| 1881059111 | Tatia Marie Brooks | Home Health Aide | 325 1/2 Mayberry, Toledo, OH 43609 | 2015-12-31 |
| 1023426129 | Verna Sharon Willis | Home Health Aide | 915 Wright, Toledo, OH 43609 | 2014-08-01 |
| 1548514557 | Ieshea Sealey | Home Health Aide | 456 Shasta Dr, Toledo, OH 43609 | 2012-10-30 |
| 1316104706 | Neighborhood Health Association | Clinic/Center | 732 Southside Community Health Center, Toledo, OH 43609 | 2008-05-22 |
| 1376700211 | Neighborhood Health Association | Clinic/Center | 1 Aurora Gonzalez Drive, Toledo, OH 43609 | 2008-05-19 |
| 1790775054 | Kettlie Joseph Daniels | Specialist | 980 South Byrne Road, Toledo, OH 43609 | 2005-10-26 |
| 1780922922 | Brian K Bugbee | Massage Therapist | 743 S Byrne Rd, Toledo, OH 43609-1005 | 2013-01-23 |
| Find all providers in zip 43609 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144787573 | Ohio Living Communities | Assisted Living Facility | 1650 Swan Creek Ln, Toledo, OH 43614-1286 | 2019-02-21 |
| 1497202501 | Ryan Senior Care | Assisted Living Facility | 5020 Ryan Rd, Toledo, OH 43614-2065 | 2016-09-07 |
| 1710343801 | Lutheran Homes Society, Inc. | Assisted Living Facility | 2519 Seaman St, Toledo, OH 43605-1509 | 2016-01-06 |
| 1700261112 | Jawuan Ford | Assisted Living Facility | 452 W Manhattan Blvd, Toledo, OH 43608-1025 | 2015-07-27 |
| 1881991511 | Alpine House Inc | Assisted Living Facility | 2901 Tremainsville Rd, Toledo, OH 43613-1943 | 2011-02-15 |
| 1629532015 | Merit House LLC. | Assisted Living Facility | 4645 Lewis Ave, Toledo, OH 43612-2336 | 2019-01-30 |
| 1538623012 | Sunset Retirement Communities, Inc | Assisted Living Facility | 4020 Indian Rd, Toledo, OH 43606-2265 | 2019-01-29 |
| 1427407873 | Chi Living Communities | Assisted Living Facility | 5942 Renaissance Pl, Suite A, Toledo, OH 43623-4716 | 2016-06-07 |
| 1457709198 | Chi Living Communities | Assisted Living Facility | 5942 Renaissance Pl, Suite A, Toledo, OH 43623-4716 | 2016-06-02 |
| 1568623809 | Lutheran Homes Society, Inc. | Assisted Living Facility | 131 N Wheeling St, Toledo, OH 43605-1544 | 2008-06-19 |
| Find all providers in TOLEDO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.