Healthcare Provider Details

I. General information

NPI: 1295685238
Provider Name (Legal Business Name): SHELIA ROBERTS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/29/2026
Last Update Date: 01/29/2026
Certification Date: 01/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

829 W PROSPECT RD APT 5
ASHTABULA OH
44004-6717
US

IV. Provider business mailing address

829 W PROSPECT RD APT 5
ASHTABULA OH
44004-6717
US

V. Phone/Fax

Practice location:
  • Phone: 440-228-6019
  • Fax:
Mailing address:
  • Phone: 440-228-6019
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberRS138821
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: