Tyler Conley
Individual provider Active NPI Personal Care Attendant · Jackson, OH
NPI 1073323911 · NPPES record last updated Jan 13, 2025
Key facts
- NPI
- 1073323911
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 983 Wheatland Dr Unit 4F
Jackson, OH 45640-3509 - Phone
- (740) 286-8405
- NPI assigned
- Jan 13, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
983 Wheatland Dr Unit 4F
Jackson, OH 45640-3509
Mailing address
4564 Jisco West Rd
Jackson, OH 45640-9684
Phone (740) 978-3783
Other providers in Jackson, OH
- Community Action Committee of Pike County
- Community Action Committee of Pike County
- Michael Conaway
- Savanna Coning
- Megan Faith Conley
- David Cooper
- Hannah Marie Corcoran
- Mathew J Cosenza
- Seth Coulter
- County of Jackson
All providers in Jackson, OH · Personal Care Attendant in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.