Coates, Tischa Elaine
Coates, Tischa Elaine is an sole proprietor health care provider with primary practice located at 4661 Merrick Dr , Dayton OH 45415-3354. She recently has 6 registered licenses in different health care specialties including Agencies / Supports Brokerage, Nursing Service Related Providers / Chore Provider, Nursing Service Related Providers / Homemaker, Respite Care Facility / Respite Care, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities, Nursing Service Related Providers / Personal Care Attendant. Nursing Service Related Providers / Personal Care Attendant is her primary health care specialty. Coates, Tischa Elaine can be contacted via phone (937) 245-2642.Contact Information
Primary practice address
4661 Merrick Dr
Dayton OH 45415-3354
Phone: (937) 245-2642
Fax: (937) 278-9418
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Supports Brokerage | 251X00000X | Ohio | |
| Nursing Service Related Providers / Chore Provider | 372500000X | Ohio | |
| Nursing Service Related Providers / Homemaker | 376J00000X | Ohio | |
| Respite Care Facility / Respite Care | 385H00000X | ||
| Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities | 385HR2060X | Ohio | |
| Nursing Service Related Providers / Personal Care Attendant | 3747P1801X | Ohio |
Profile Details
| NPI number | 1093324881 |
|---|---|
| LBN Legal business name | Coates, Tischa Elaine |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 28th, 2020 |
| Last updated | Jul 28th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093324881 | NPPES |
| Ohio | MEDICAID | 0241240 |
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