Individual provider Active NPI

Latoria Chavell Weaver-Spaulding

  • Homemaker
  • Medina, OH
National Provider Identifier
1790309946
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
License
2409183 Issued in OH
Practice address
5440 Champion Creek Blvd
Medina, OH 44256-6812
Phone
(330) 400-9269
NPI assigned
Jun 3, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X
In Home Supportive Care Agency 253Z00000X
In Home Supportive Care Agency 253Z00000X 7703999
In Home Supportive Care Agency 253Z00000X 7703999 OH
Non-emergency Medical Transport (VAN) 343900000X 7703999
Personal Care Attendant 3747P1801X
Personal Care Attendant 3747P1801X 2409183 OH
Homemaker 376J00000X
Respite Care Camp 385HR2050X 7703999
Homemaker 376J00000X 2409183 OH Primary

Addresses

Primary practice location

5440 Champion Creek Blvd
Medina, OH 44256-6812

Mailing address

5440 Champion Creek Blvd
Medina, OH 44256-6812
Phone (330) 400-9269

Other identifiers 2

IdentifierTypeStateIssuer
770399MedicaidOH
7715155MedicaidOH

Other names 1

  • Ms. Latoria Chavell Weaver Former name

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

LicenseStateTypeSpecialty
7703999OHMDIn Home Supportive Care Agency
2409183OHMDHomemaker

Practice roles

OrganizationSpecialtyStatusNew patients
True Hearts of Care LLC In Home Supportive Care Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1790309946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 CHAMPION CREEK BLVD",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442566812",
            "telephone_number": "330-400-9269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 CHAMPION CREEK BLVD",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442566812",
            "telephone_number": "330-400-9269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER-SPAULDING",
        "first_name": "LATORIA",
        "middle_name": "CHAVELL",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-03",
        "last_updated": "2020-12-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": "7703999",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "OH",
            "license": "7703999",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": "7703999",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "OH",
            "license": "2409183",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2050X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care Camp",
            "state": null,
            "license": "7703999",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "OH",
            "license": "2409183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "770399",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7715155",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LATORIA",
            "last_name": "WEAVER",
            "middle_name": "CHAVELL",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Medina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.