Healthcare Provider Details

I. General information

NPI: 1912862376
Provider Name (Legal Business Name): KYASIA WILLIAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1222 HERBERICH AVE
AKRON OH
44301-1937
US

IV. Provider business mailing address

1222 HERBERICH AVE
AKRON OH
44301-1937
US

V. Phone/Fax

Practice location:
  • Phone: 330-957-9516
  • Fax:
Mailing address:
  • Phone: 330-957-9516
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: