Healthcare Provider Details

I. General information

NPI: 1356058887
Provider Name (Legal Business Name): JAVITA L COLE LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/03/2022
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1005 NATHAN ST
AKRON OH
44307-1969
US

IV. Provider business mailing address

1005 NATHAN ST
AKRON OH
44307-1969
US

V. Phone/Fax

Practice location:
  • Phone: 330-998-8077
  • Fax:
Mailing address:
  • Phone: 330-998-8077
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: