Healthcare Provider Details

I. General information

NPI: 1841082070
Provider Name (Legal Business Name): FELECIA SPAULDING
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/22/2025
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 W OCONNOR AVE # 45801
LIMA OH
45801-3520
US

IV. Provider business mailing address

820 W OCONNOR AVE # 45801
LIMA OH
45801-3520
US

V. Phone/Fax

Practice location:
  • Phone: 419-371-5466
  • Fax: 419-371-5466
Mailing address:
  • Phone: 419-371-5466
  • Fax: 419-371-5466

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: