Lavon M. Benner
Individual provider Active NPI In Home Supportive Care Agency · Stryker, OH
NPI 1740069657 · NPPES record last updated Sep 28, 2023
Key facts
- NPI
- 1740069657
- Entity type
- Individual (NPI type 1)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- Practice address
- 417 N Defiance St
Stryker, OH 43557-9472 - Phone
- (419) 344-5118
- NPI assigned
- Sep 28, 2023
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | |||
| Homemaker | 376J00000X | |||
| Private Vehicle | 347C00000X | |||
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | |||
| In Home Supportive Care Agency | 253Z00000X | Yes |
Addresses
Primary practice location
417 N Defiance St
Stryker, OH 43557-9472
Mailing address
417 N Defiance St # 544
Stryker, OH 43557-9472
Phone (419) 344-5118
Other providers in Stryker, OH
- Deanna Appel
- Hannah Sloan Arnos
- Tyler E Bishop
- Carol A. Budzenski
- Brianna Marie Burns
- Stacy Cadwell
- Morgan L Dougal
All providers in Stryker, OH · In Home Supportive Care Agency in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2023. 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.