TRACEY LEH DAVIS SHARED LIVING NPI 1053916338

NPI Information

NPI: 1053916338
Provider Name: TRACEY LEH DAVIS, SHARED LIVING
Classification: Respite Care - 385HR2060X
Entity Type: Individual

Specialization: Respite Care, Intellectual and/or Developmental Disabilities

Address:
207 MELVIN DOWNARD RD
WELLSTON, OH
ZIP 45692
Phone: (740) 988-8400
Get Directions

Tracey Leh Davis, SHARED LIVING is a respite care and mental retardation and/or developmental disabilities respite care in Wellston, OH. The provider is a facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers. Tracey Leh Davis, SHARED LIVING NPI is 1053916338. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

207 MELVIN DOWNARD RD
WELLSTON, OH
ZIP 45692-232
Phone: (740) 988-8400

The enumeration date for this NPI number is 12/3/2020 and was last updated on 12/3/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	385HR2060X	Respite Care	Respite Care, Intellectual and/or Developmental Disabilities			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	105257068499	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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