Laqueena Warner

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

License

401877820716 Issued in OH

Practice address

1165 Chesterdale Dr Apt B
Springdale, OH 45246-2721

Phone

(513) 383-0691

NPI assigned

Oct 16, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539648000000",
    "number": "1518433606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 CHESTERDALE DR APT B",
            "city": "SPRINGDALE",
            "state": "OH",
            "postal_code": "452462721",
            "telephone_number": "513-383-0691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 CHESTERDALE DR APT B",
            "city": "SPRINGDALE",
            "state": "OH",
            "postal_code": "452462721",
            "telephone_number": "513-383-0691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1165 Chesterdale Dr Apt B",
            "address_purpose": "LOCATION",
            "city": "Springdale",
            "state": "OH",
            "postal_code": "452462721",
            "country_code": "US",
            "telephone_number": "513-383-0691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARNER",
        "first_name": "LAQUEENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-16",
        "last_updated": "2018-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "OH",
            "license": "401877820716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility (Behavioral Disturbances) in Springdale, OH
• Providers in Springdale, OH by specialty
• Assisted Living Facility (Behavioral Disturbances) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.