Active NPI
Latoria Chavell Weaver-Spaulding
- Homemaker
- Medina, OH
National Provider Identifier
1790309946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- License
- 2409183
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 770399 | Medicaid | OH | |
| 7715155 | Medicaid | OH |
Other names 1
- Ms. Latoria Chavell Weaver
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 |
|---|---|---|---|
| 7703999 | OH | MD | In Home Supportive Care Agency |
| 2409183 | OH | MD | Homemaker |
Practice roles
| Organization | Specialty | Status | New 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.
-
dba Fun nights, True Hearts,
- Child Intellectual and/or Developmental Disabilities Respite Care
- Akron, OH
- NPI 1407276447
In Home Supportive Care
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.