MEDICARE: TAZJAI PRIMES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	3747P1801X	Personal Care Attendant
2	374U00000X	Home Health Aide
3	3747P1801X	Personal Care Attendant	OH

General Provider Information

NPI Number	:	1154137594
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAZJAI PRIMES

Provider Business Mailing Address
First Line	:	706 RAYMOND ST
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44307-2016
Country	:	US
Telephone Number	:	330-780-1801
Fax Number	:

Provider Business Practice Location Address
First Line	:	706 RAYMOND ST
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44307-2016
Country	:	US
Telephone Number	:	330-780-1801
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/10/2024
Last Update Date	:	01/29/2025

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Directions to “ TAZJAI PRIMES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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