=====================================================
General NPI Number Information
=====================================================
NPI Number | 1649134305
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ALEASHA M STEPHENS
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/16/2025
-----------------------------------------------------
Last Update Date | 12/16/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2105 W 16TH ST
-----------------------------------------------------
City | ASHTABULA
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44004-2732
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 440-536-7311
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2105 W 16TH ST
-----------------------------------------------------
City | ASHTABULA
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44004-2732
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 440-536-7311
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 374U00000X
-----------------------------------------------------
Taxonomy Name | Home Health Aide
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------