Healthcare Provider Details

I. General information

NPI: 1386305035
Provider Name (Legal Business Name): ZANDRA NIAFARIA THOMAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2022
Last Update Date: 05/19/2025
Certification Date: 05/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1930 NEWTON ST APT 1
AKRON OH
44305-3070
US

IV. Provider business mailing address

1930 NEWTON ST APT 1
AKRON OH
44305-3070
US

V. Phone/Fax

Practice location:
  • Phone: 234-340-9680
  • Fax:
Mailing address:
  • Phone: 234-340-9680
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License NumberOH3271050
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: