ELEONORA TATASHADZE PROVIDER NPI 1639460371

NPI Information

  • NPI: 1639460371
  • Provider Name: ELEONORA TATASHADZE, PROVIDER
  • Classification: Contractor - 171WH0202X
  • Specialization: Home Modifications
  • Entity Type: Individual
  • Address: 6613 FINEGAN DR
    DAYTON, OH
    ZIP 45424
  • Phone: (860) 726-6200

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NPI Details

Eleonora Tatashadze, PROVIDER is a home modifications contractor in Dayton, OH. The provider is a contractor who makes modifications to homes to accommodate a health condition. Eleonora Tatashadze, PROVIDER NPI is 1639460371. 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:

6613 FINEGAN DR
DAYTON, OH
ZIP 45424-112
Phone: (860) 726-6200

The enumeration date for this NPI number is 4/28/2011 and was last updated on 12/24/2020.

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
1171WH0202XContractorHome Modifications0000493CONNECTICUTNo
2171WH0202XContractorHome Modifications4203630OHIOYes

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
14203630OTHEROHIOSTATE OF OHIO CERTIFICATE

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: 11/21/2025

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