TYRAYA DAVENPORT NPI 1225631864

NPI Information

NPI: 1225631864
Provider Name: TYRAYA DAVENPORT
Classification: Homemaker - 376J00000X
Entity Type: Individual
Address:
15235 LAKE SHORE BLVD
CLEVELAND, OH
ZIP 44110
Phone: (216) 203-0949
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Tyraya Davenport is a homemaker in Cleveland, OH. The provider is an individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards. Tyraya Davenport NPI is 1225631864. 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:

15235 LAKE SHORE BLVD
CLEVELAND, OH
ZIP 44110-230
Phone: (216) 203-0949

The enumeration date for this NPI number is 11/17/2020 and was last updated on 11/17/2020.

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 State	Primary
1	172A00000X	Driver		OHIO	No
2	3747P1801X	Technician	Personal Care Attendant	OHIO	No
3	376J00000X	Homemaker		OHIO	Yes
4	385HR2060X	Respite Care	Respite Care, Intellectual and/or Developmental Disabilities	OHIO	No
5	253Z00000X	In Home Supportive Care		OHIO	No

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	1831678	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: 11/14/2023

NPI Synchronization or Removal

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