Healthcare Provider Details

I. General information

NPI: 1477490787
Provider Name (Legal Business Name): MS. JANYA LEWIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4612 WOODHURST DR
YOUNGSTOWN OH
44515-3731
US

IV. Provider business mailing address

4612 WOODHURST DR
YOUNGSTOWN OH
44515-3731
US

V. Phone/Fax

Practice location:
  • Phone: 234-367-0959
  • Fax:
Mailing address:
  • Phone: 234-367-0959
  • 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: