Provider Demographics
NPI:1154180917
Name:AVENT, CONSUELO D
Entity type:Individual
Prefix:MS
First Name:CONSUELO
Middle Name:D
Last Name:AVENT
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:CONSUELO
Other - Middle Name:D
Other - Last Name:CLARIDY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 3974
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44314-0974
Mailing Address - Country:US
Mailing Address - Phone:330-400-7391
Mailing Address - Fax:
Practice Address - Street 1:928 LAKEWOOD BLVD
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44314-2959
Practice Address - Country:US
Practice Address - Phone:330-400-7391
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-14
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH374U00000X, 376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No376J00000XNursing Service Related ProvidersHomemaker