MRS. STEPHANIE PETTAWAY NPI 1649965120

NPI Information

  • NPI: 1649965120
  • Provider Name: MRS. STEPHANIE PETTAWAY
  • Classification: In Home Supportive Care - 253Z00000X
  • Entity Type: Individual
  • Address: 4903 CATALINA DR
    TOLEDO, OH
    ZIP 43615
  • Phone: (419) 578-8787

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NPI Details

MRS. Stephanie Pettaway is an in home supportive care in Toledo, OH. The provider is an In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. MRS. Stephanie Pettaway NPI is 1649965120. 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:

4903 CATALINA DR
TOLEDO, OH
ZIP 43615-115
Phone: (419) 578-8787

The enumeration date for this NPI number is 4/10/2023 and was last updated on 9/26/2024.

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
1104100000XSocial WorkerS.2309637OHIONo
2253Z00000XIn Home Supportive CareOHIOYes

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
10497997MEDICAIDOHIO

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: 3/30/2025

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