Active NPI
Jaylan Webber Crenshaw
- Home Health Aide
- Tallmadge, OH
National Provider Identifier
1356015135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- TY003657
- Practice address
- 190 E Howe Rd # 990
Tallmadge, OH 44278-1056 - Phone
- (234) 200-9418
- NPI assigned
- Aug 4, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | TY003657 | OH | Primary |
Addresses
Primary practice location
190 E Howe Rd # 990
Tallmadge, OH 44278-1056
Mailing address
190 E Howe Rd
Tallmadge, OH 44278-1056
Phone (234) 200-9418
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TY003657 | OH | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782950400000",
"number": "1356015135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 E HOWE RD",
"city": "TALLMADGE",
"state": "OH",
"postal_code": "442781056",
"telephone_number": "234-200-9418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 E HOWE RD # 990",
"city": "TALLMADGE",
"state": "OH",
"postal_code": "442781056",
"telephone_number": "234-200-9418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRENSHAW",
"first_name": "JAYLAN",
"middle_name": "WEBBER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-04",
"last_updated": "2026-07-02",
"certification_date": "2026-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "OH",
"license": "TY003657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tallmadge, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.