Healthcare Provider Details

I. General information

NPI: 1528660701
Provider Name (Legal Business Name): DAAIYAH TRIPLETT-BALLARD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/12/2020
Last Update Date: 03/17/2025
Certification Date: 03/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 N MICHIGAN ST STE E
TOLEDO OH
43604-2722
US

IV. Provider business mailing address

615 ASHWOOD AVE
TOLEDO OH
43608-2526
US

V. Phone/Fax

Practice location:
  • Phone: 419-349-5486
  • Fax:
Mailing address:
  • Phone: 419-349-5486
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: