Healthcare Provider Details

I. General information

NPI: 1104755768
Provider Name (Legal Business Name): CAROLYN BOYKIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

729 GAYLAN DR
AKRON OH
44310-2313
US

IV. Provider business mailing address

729 GAYLAN DR
AKRON OH
44310-2313
US

V. Phone/Fax

Practice location:
  • Phone: 330-962-3931
  • Fax:
Mailing address:
  • Phone: 330-962-3931
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: