Healthcare Provider Details

I. General information

NPI: 1225955222
Provider Name (Legal Business Name): JERILYNN DIX
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1609 ROMONA RD
AKRON OH
44305-1433
US

IV. Provider business mailing address

1609 ROMONA RD
AKRON OH
44305-1433
US

V. Phone/Fax

Practice location:
  • Phone: 330-849-1139
  • Fax:
Mailing address:
  • Phone: 330-849-1139
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number7719295
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: