EDONTRE MALIK DAUGHERTY
NPI 1205421872
Home Health Aide in Ashtabula, OH
About Edontre Malik Daugherty NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDONTRE MALIK DAUGHERTY (NPI 1205421872) is an individual home health aide in Ashtabula, Ohio and active in the NPI registry since March 2021.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Edontre Daugherty's NPI number?
The NPI number for Edontre Daugherty is 1205421872. It was assigned to this individual provider in the NPPES registry on March 5, 2021.
Where is Edontre Daugherty located?
Edontre Daugherty practices at 5722 Ketcham Ave, Ashtabula, OH 44004. The listed phone number is (440) 813-9675.
What is Edontre Daugherty's specialty?
The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.
When was this NPI record last updated?
The NPPES record for Edontre Daugherty was last updated on March 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Edontre Malik Daugherty · NPI 1205421872
Home Health Aide provider in Ashtabula, Ohio. Individual provider, active in the CMS NPPES registry since March 5, 2021.
## Identity
- **NPI:** 1205421872 (Entity type: Individual)
- **Enumerated:** March 5, 2021
- **Primary specialty:** Home Health Aide · taxonomy 374U00000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5722 KETCHAM AVE, Ashtabula, OH 44004-9779
- **Phone:** (440) 813-9675
## Record status
- **NPPES last updated:** March 5, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1205421872) · Data from the CMS NPPES public registry.