LATISHA CROCKETT
NPI 1235543893
Assisted Living Facility in Toledo, OH

Active since June 11, 2014
320 ELDRED AVE, TOLEDO, OH 43609(419) 810-2230 Get Directions Write a Review

NPPES record last updated: June 11, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Latisha Crockett NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LATISHA CROCKETT (NPI 1235543893) is an individual assisted living facility provider in Toledo, Ohio, licensed in Ohio (400676531007) and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1235543893
Entity TypeIndividualFemale
Primary Taxonomy310400000X
Provider Legal NameLATISHA CROCKETT
Location Address320 ELDRED AVEToledo, OH 43609-2135
Mailing Address320 Eldred AveToledo, OH 43609-2135 · (419) 810-2230
Sole ProprietorYes
Enumeration DateJune 11, 2014
NPI 1235543893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in OH · 400676531007
Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

320 ELDRED AVE, Toledo, OH 43609

Other Identifiers 1

Medicare PIN400676531007OH

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 Latisha Crockett's NPI number?

The NPI number for Latisha Crockett is 1235543893. It was assigned to this individual provider in the NPPES registry on June 11, 2014.

Where is Latisha Crockett located?

Latisha Crockett practices at 320 Eldred Ave, Toledo, OH 43609. The listed phone number is (419) 810-2230.

What is Latisha Crockett's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Latisha Crockett was last updated on June 11, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.