Healthcare Provider Details

I. General information

NPI: 1821794306
Provider Name (Legal Business Name): KAREN E MYERS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/06/2023
Last Update Date: 02/06/2023
Certification Date: 02/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 CANTERBURY CT
ELYRIA OH
44035-1771
US

IV. Provider business mailing address

311 CANTERBURY CT
ELYRIA OH
44035-1771
US

V. Phone/Fax

Practice location:
  • Phone: 440-935-1507
  • Fax:
Mailing address:
  • Phone: 440-935-1507
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: