Healthcare Provider Details

I. General information

NPI: 1558431189
Provider Name (Legal Business Name): MS. DAWN MICHELLE HELLER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/09/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

883 ADA ST
AKRON OH
44306-1919
US

IV. Provider business mailing address

883 ADA ST
AKRON OH
44306-1919
US

V. Phone/Fax

Practice location:
  • Phone: 330-786-1830
  • Fax: 330-786-1830
Mailing address:
  • Phone: 330-786-1830
  • Fax: 330-786-1830

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License NumberRQ096025
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number2595240
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: