Healthcare Provider Details

I. General information

NPI: 1528697471
Provider Name (Legal Business Name): ASHLEY MEADOWS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2020
Last Update Date: 04/23/2025
Certification Date: 04/23/2025
Deactivation Date: 01/09/2024
Reactivation Date: 01/26/2024

III. Provider practice location address

1140 MAYROSE DR
DAYTON OH
45449-2023
US

IV. Provider business mailing address

1140 MAYROSE DR
DAYTON OH
45449-2023
US

V. Phone/Fax

Practice location:
  • Phone: 937-689-4690
  • Fax:
Mailing address:
  • Phone: 937-751-2205
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: