KEYONNA ELLIS- SLAUGHTER (NPI# 1326429432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326429432 |
| Entity Type | Individual |
| Full Name | KEYONNA ELLIS- SLAUGHTER |
| Practice Address |
728 Oak Knoll Ave Se Warren OH 44484 |
| Mailing Address |
1192 Trumbull Ave Se Warren OH 44484-4578 |
| Practice Telephone | 3305182748 |
| Mailing Telephone | 3308817612 |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2018-07-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers | ||
| N | 374U00000X | Home Health Aide | 401780290815 | OH | Nursing Service Related Providers |
| N | 376K00000X | Nurse's Aide | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | CS1607000200 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1192 Trumbull Ave Se, Warren, OH 444844578 | 3308817612 |
| Street Address |
728 OAK KNOLL AVE SE |
| City | WARREN |
| State | OH |
| Zip Code | 44484 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568958353 | Quality Senior Home Care | Home Health | 728 Oak Knoll Ave Se, Warren, OH 44484 | 2018-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205446283 | Jessica Toot | Behavior Technician | Oakwood Counseling Center LLC, 1704 North Road Se, Warren, OH 44484 | 2020-08-05 |
| 1558857060 | Quantina Louise Thomas | Home Health | 1548oak Knoll Se, Warren, OH 44484 | 2018-07-09 |
| 1033609706 | Justin A Houy | Massage Therapist | 8345 E. Market St. Suite C, The Chiropractic and Functional Neurology Center, Warren, OH 44484 | 2018-05-17 |
| 1679091359 | Ester Mae Butler | Nurse's Aide | 2228 Draper Avenue Se, Warren, OH 44484 | 2017-09-01 |
| 1477070811 | Amanda Lynn Heberling | Occupational Therapy Assistant | 8128 Kenyon Dr., Warren, OH 44484 | 2017-08-26 |
| 1790213650 | Joyce A Mechling | Licensed Practical Nurse | 2737 Youngstown Rd., Warren, OH 44484 | 2017-05-23 |
| 1598206898 | Stan Catullo | Substance Abuse Rehabilitation Facility | 2737 Youngstown Warren Road Se, Warren, OH 44484 | 2017-03-20 |
| 1679014054 | Pamela M Lang | Pharmacist | 1977 Niles Rd S.e., Genoa A Qol Healthcare Company, Warren, OH 44484 | 2017-03-17 |
| 1922454800 | Jeremy Michael Capetillo | Dentist | 8740 E Market St Ste 1, Warren, OH 44484 | 2016-05-10 |
| 1215311865 | Jessica Dawn Harris | Physical Therapy Assistant | 1926 Ridge Avenue, Warren, OH 44484 | 2015-07-14 |
| Find all providers in zip 44484 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619583853 | Heidi Ann Vandevender | Technician | 1796 Westview Dr Ne, Warren, OH 44483-5343 | 2020-09-22 |
| 1679189450 | Khadejah Leshawnte Davidson | Technician | 1956 Draper Ave Se, Warren, OH 44484-5323 | 2020-09-17 |
| 1326653767 | Katherine R Cross | Technician | 1509 Parkman Rd Nw, Warren, OH 44485-2160 | 2020-09-12 |
| 1962017301 | Jaime Jastatt | Technician | 1827 Tiffany Dr Ne, Warren, OH 44483-4180 | 2020-09-12 |
| 1871116384 | Jasmine Smith | Technician | 1635 Sheridan Ave Ne, Warren, OH 44483-3971 | 2020-05-19 |
| 1770121378 | Alexis Adrianna Jackson | Technician | 1205 Parkman Rd Nw, Warren, OH 44485-2470 | 2019-12-13 |
| 1639695943 | Keairah Stephens | Technician | 13031 Prospect Ave, Warren, MI 48089-3210 | 2017-08-17 |
| 1225488976 | Takara L Walker | Technician | 3292 Greenfield St Nw, Warren, OH 44485-1347 | 2016-06-14 |
| 1124494075 | Sybil Nadirah Hameed | Technician | 1420 4th Dr Sw Unit 1304, Warren, OH 44485-5809 | 2015-08-14 |
| 1750794285 | Ramona Jackson | Technician | 1746 Southern Blvd Nw, Warren, OH 44485-1624 | 2014-06-02 |
| Find all providers in WARREN | ||||
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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.