Dontaivean Espie

Individual provider Active NPI Home Health Aide · East Cleveland, OH

NPI 1306377098 · NPPES record last updated Mar 23, 2017

Key facts

NPI
1306377098
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Aide 374U00000X
License
0202272 (OH)
Practice address
14014 Baldwin Ave
East Cleveland, OH 44112-2548
Phone
(216) 303-1195
NPI assigned
Mar 23, 2017
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0202272OHMDHome Health Aide

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X 0202272 OH Yes

Addresses

Primary practice location

14014 Baldwin Ave
East Cleveland, OH 44112-2548

Mailing address

14014 Baldwin Ave
East Cleveland, OH 44112-2548
Phone (216) 303-1195

Other identifiers

IdentifierTypeStateIssuer
0202272MedicaidOH

Other providers in East Cleveland, OH

All providers in East Cleveland, OH · Home Health Aide in Ohio

Sources for this page

Verify at the official NPI Registry.