Healthcare Provider Details

I. General information

NPI: 1851085633
Provider Name (Legal Business Name): DAURETTA LEVELLER BAITY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/06/2023
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 SOBUL AVE
AKRON OH
44305-3356
US

IV. Provider business mailing address

250 SOBUL AVE
AKRON OH
44305-3356
US

V. Phone/Fax

Practice location:
  • Phone: 330-371-8650
  • Fax:
Mailing address:
  • Phone: 330-371-8650
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License NumberRN018438
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License NumberRN018438
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License NumberRN018438
License Number StateOH
# 6
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License NumberRN018438
License Number StateOH
# 7
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License NumberRN018438
License Number StateOH
# 8
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: