PHYLLIS SHEPHERD SOLE PROPRIETY NPI 1700550258

NPI Information

NPI: 1700550258
Provider Name: PHYLLIS SHEPHERD, SOLE PROPRIETY
Classification: Technician - 3747P1801X
Entity Type: Individual

Specialization: Personal Care Attendant

Address:
2193 DEERING AVE
DAYTON, OH
ZIP 45406
Phone: (937) 626-3561
Get Directions

Phyllis Shepherd, SOLE PROPRIETY is a personal care attendant technician in Dayton, OH. The provider is 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 Phyllis Shepherd, SOLE PROPRIETY NPI is 1700550258. 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:

2193 DEERING AVE
DAYTON, OH
ZIP 45406-506
Phone: (937) 626-3561

The enumeration date for this NPI number is 8/6/2021 and was last updated on 8/6/2021.

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	3747P1801X	Technician	Personal Care Attendant	5707220	OHIO	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	2635956	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: 4/28/2024

NPI Synchronization or Removal

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