=====================================================
General NPI Number Information
=====================================================
NPI Number | 1932039799
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | 1 ON 1 CARE BY CARENEST
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/21/2026
-----------------------------------------------------
Last Update Date | 05/22/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6545 MARKET AVE N
-----------------------------------------------------
City | CANTON
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44721-2430
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 419-258-6900
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1361 PROSPECT AVE
-----------------------------------------------------
City | TOLEDO
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43606-4747
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 419-764-7810
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | KADYIA GREGORY
-----------------------------------------------------
Credential | REGISTERED NURSE
-----------------------------------------------------
Telephone | 419-764-7810
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 163W00000X
-----------------------------------------------------
Taxonomy Name | Registered Nurse
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------