MEDICARE: LATOYA RENEE JOHNSON

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3747P1801X	Personal Care Attendant	ST283994	OH
2	376J00000X	Homemaker

General Provider Information

NPI Number	:	1881535391
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LATOYA RENEE JOHNSON

Provider Business Mailing Address
First Line	:	1008 YORK ST APT 1
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45214-2380
Country	:	US
Telephone Number	:	513-615-3723
Fax Number	:

Provider Business Practice Location Address
First Line	:	1008 YORK ST APT 1
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45214-2380
Country	:	US
Telephone Number	:	513-615-3723
Fax Number	:

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

Provider Enumeration Date	:	04/01/2026
Last Update Date	:	04/01/2026

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