Ladi Tchabounono
Individual provider Active NPI Home Health Aide · Westerville, OH
NPI 1720523673 · NPPES record last updated Jan 2, 2017
Key facts
- NPI
- 1720523673
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- License
- 400828731108 (OH)
- Practice address
- 3379 Vickers Dr
Westerville, OH 43081-3966 - Phone
- (614) 254-2822
- NPI assigned
- Jan 2, 2017
- Sex
- Female
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 400828731108 | OH | MD | Home Health Aide |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 400828731108 | OH | Yes |
Addresses
Primary practice location
3379 Vickers Dr
Westerville, OH 43081-3966
Mailing address
3379 Vickers Dr
Westerville, OH 43081-3966
Phone (614) 254-2822
Other providers in Westerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2017. 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.