STACI-LOVE DEVEREAUX
NPI 1114633005
Home Health Aide in Canton, OH

Active since January 25, 2023
2140 8TH ST NE, CANTON, OH 44704(330) 481-3650 Get Directions Write a Review

NPPES record last updated: February 27, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 27, 2023, Jan 25, 2023 (2 updates tracked since 2023).

  • Individual
  • Male
  • Home Health Aide

About STACI-LOVE DEVEREAUX

This page provides the complete NPI Profile along with additional information for Staci-love Devereaux, a provider established in Canton, Ohio with a medical specialization in Home Health Aide. The healthcare provider is registered in the NPI registry with number 1114633005 assigned on January 2023. The practitioner's primary taxonomy code is 374U00000X. The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1114633005 Verify this NPI
Provider Name
STACI-LOVE DEVEREAUX
Gender
Male
Entity Type
Individual
Location Address
2140 8TH ST NE CANTON, OH 44704
Location Phone
(330) 481-3650
Mailing Address
2140 8TH ST NE CANTON, OH 44704
Mailing Phone
(330) 481-3650
Is Sole Proprietor?
No
Enumeration Date
01-25-2023
Last Update Date
02-27-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Home Health Aide

Taxonomy Code
374U00000X
Type
Nursing Service Related Providers
Taxonomy Description
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114633005, enumerated as an "individual" on January 25, 2023.

The provider is located at 2140 8TH ST NE CANTON, OH 44704 and the phone number is (330) 481-3650.

Home Health Aide with taxonomy code 374U00000X.