Healthcare Provider Details

I. General information

NPI: 1689332348
Provider Name (Legal Business Name): TAINE NEDD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2021
Last Update Date: 11/17/2023
Certification Date: 11/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 METRO PL N
DUBLIN OH
43017-5342
US

IV. Provider business mailing address

2560 KEY ST APT 4A
TOLEDO OH
43614-4818
US

V. Phone/Fax

Practice location:
  • Phone: 567-377-0531
  • Fax:
Mailing address:
  • Phone: 567-377-0531
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: