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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TIA NICOLE HENDERSON

Deactivated Sole Proprietor

TIA NICOLE HENDERSON is a Home Health Aide healthcare provider located in MASSILLON, Ohio. NPI 1508505330 is deactivated in the NPPES registry. Verify at CMS.

Home Health Aide · MASSILLON, OH

This NPI has been deactivated. The record was deactivated on July 6, 2023. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1508505330
Provider Type
Individual
Gender
Female
NPI Issued
May 31, 2022 (1.0983606557377 yrs)
Last Updated
Jul 29, 2023
Deactivated
Jul 6, 2023
Sole Proprietor
Yes

Practice Information

Address
309 1ST ST SW
MASSILLON, OH, 446466723
Browse OH providers · Browse ZIP 44646
Phone
3303279128
Primary Specialty
Home Health Aide
374U00000X

Other Home Health Aide Providers in MASSILLON, OH

Name Credential NPI
MICHEAL WAYNE SLATER 1689701146
MRS. KAREN LYNETTE SHOWES 1023138377
MS. TRACY ONNA STCLAIR 1922210368
MRS. MICHELE MARIE NEACE 1790951242
JILLIAN RILEY 1427489335
PAMELA VOGT 1508256223
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.