MADISON LAKE
NPI 1871362848
Technician - Personal Care Attendant in Ashtabula, OH

Active since January 01, 2024
2201 S RIDGE RD E, ASHTABULA, OH 44004(330) 703-1819 Get Directions Write a Review

NPPES record last updated: January 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Madison Lake NPPES

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

MADISON LAKE (NPI 1871362848) is an individual personal care attendant in Ashtabula, Ohio and active in the NPI registry since January 2024. She maintains a secondary practice location in North Canton.

NPPES Registry Identity

NPI1871362848
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameMADISON LAKE
Location Address2201 S RIDGE RD EAshtabula, OH 44004-4458
Mailing Address1360 Gray Fox DrNorth Canton, OH 44720-1014
Sole ProprietorYes
Enumeration DateJanuary 1, 2024
NPPES CertifiedDecember 30, 2023
NPI 1871362848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
2201 S RIDGE RD E, Ashtabula, OH 44004

Secondary Practice Location 1

Location 11360 Gray Fox DrNorth Canton, OH 44720-1014 · Phone (330) 703-1819

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 Madison Lake's NPI number?

The NPI number for Madison Lake is 1871362848. It was assigned to this individual provider in the NPPES registry on January 1, 2024.

Where is Madison Lake located?

Madison Lake practices at 2201 S Ridge Rd E, Ashtabula, OH 44004. The listed phone number is (330) 703-1819.

What is Madison Lake's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Madison Lake was last updated on January 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.