NICHOLE R DUBOSE NPI 1417616962

NPI Information

NPI: 1417616962
Provider Name: NICHOLE R DUBOSE
Classification: Adult Companion - 372600000X
Entity Type: Individual
Address:
72 S THOMAS RD APT 3
TALLMADGE, OH
ZIP 44278
Phone: (330) 285-1096
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Nichole R Dubose is an adult companion in Tallmadge, OH. The provider is an individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. Nichole R Dubose NPI is 1417616962. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

72 S THOMAS RD APT 3
TALLMADGE, OH
ZIP 44278-123
Phone: (330) 285-1096

The enumeration date for this NPI number is 12/13/2021 and was last updated on 12/13/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	372600000X	Adult Companion				Yes
2	251E00000X	Home Health				No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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