TRAVON JOSHUA ALLEN (NPI# 1316476690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316476690 |
Entity Type | Individual |
Full Name | TRAVON JOSHUA ALLEN |
Practice Address |
124 Summit Ave Niles OH 44446 |
Mailing Address |
124 Summit Ave Niles OH 44446-3632 |
Practice Telephone | (330) 883-8708 |
Mailing Telephone | 3308838708 |
Enumeration Date | 2017-06-08 |
Last Update Date | 2017-06-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
Respite Care Facility |
Street Address |
124 SUMMIT AVE |
City | NILES |
State | OH |
Zip Code | 44446 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114554144 | Chhavi Karir | Student in an Organized Health Care Education/Training Program | 1801 Phoenix Pl, Unit 306, Niles, OH 44446 | 2020-03-27 |
1679030746 | Erica Lynne Forney | Massage Therapist | Fizek Fitness (erica’s Touch), 5555 Youngstown Warren Rd, Niles, OH 44446 | 2019-02-26 |
1326436205 | Cathy J. Carty | Social Worker | 6000 Youngstown - Warren Rd, Trumball County Educational Service Center, Niles, OH 44446 | 2014-12-31 |
1528463593 | Tracy Clark | Speech-Language Pathologist | 6000 Youngstown-warren Rd, Tcesc, Niles, OH 44446 | 2014-11-03 |
1881007003 | Cynthia Ann Hoppert | Occupational Therapist | 6000 Youngstown - Warren Road, Niles, OH 44446 | 2014-06-05 |
1447688247 | Joyce Ann Agne Jones | Social Worker | 165 East Park Avenue, Niles, OH 44446 | 2013-10-15 |
1548508161 | Vicki M Orwig | Pharmacist | 5555 Niles-youngstown Road, Niles, OH 44446 | 2013-01-17 |
1558644062 | Rebekah Lee Utsinger | Pharmacist | 5027 Youngstown Rd, Niles, OH 44446 | 2011-09-21 |
1134442742 | Edmund Nathaniel Turner | Optometrist | 5320 Youngstown Ave., Niles, OH 44446 | 2010-03-10 |
1790930725 | Pedro A Rodriguez | Dentist | 680 Youngstown-warren Rd, Niles, OH 44446 | 2008-11-18 |
Find all providers in zip 44446 |
Taxonomy Code | 385HR2060X |
Grouping | Respite Care Facility |
Classification | Respite Care |
Specialization | Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental retardation and/or developmental disabilities as respite for the regular caregivers. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306447347 | Tamara Lynn Hershberger | Respite Care | 2291 Stahl Rd, Coventry Township, OH 44319-1321 | 2020-11-05 |
1639770274 | The Genesis Program | Respite Care | 1104 Johnston St, Akron, OH 44305-2414 | 2020-11-02 |
1649870379 | Jeanne Watson | Respite Care | 254 S Oval Dr, Chardon, OH 44024-1462 | 2020-10-30 |
1164021796 | Vida Lynn Martin | Respite Care | 5969 Us Highway 6, Rome, OH 44085-9672 | 2020-10-24 |
1508465527 | Mercer Residential Services | Respite Care | 420 S Sugar St, Celina, OH 45822-2431 | 2020-10-21 |
1386242121 | Brian Francis Chutes | Respite Care | 110 Harmon Ct, Lagrange, OH 44050-9776 | 2020-10-14 |
1750989794 | Sharon Kay Skeriotis | Respite Care | 2285 Briner Ave, Akron, OH 44305-2140 | 2020-10-12 |
1437757671 | Janice Marie Shipman | Respite Care | 15103 S State Ave, Middlefield, OH 44062-9467 | 2020-10-10 |
1144827494 | Ashley Brzozowski | Respite Care | 12310 Zrolka Dr, Huntsburg, OH 44046-9788 | 2020-10-08 |
1649877168 | Kim M. Bolton | Respite Care | 3666 W 159th St, Cleveland, OH 44111-5706 | 2020-10-07 |
Find all providers with the same taxonomy |
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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.