Healthcare Provider Details

I. General information

NPI: 1295663797
Provider Name (Legal Business Name): SHAMEKA NICOLE RAYFUS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8131 ERIE ST
SYLVANIA OH
43560-4231
US

IV. Provider business mailing address

8131 ERIE ST
SYLVANIA OH
43560-4231
US

V. Phone/Fax

Practice location:
  • Phone: 713-258-4442
  • Fax:
Mailing address:
  • Phone: 713-258-4442
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: