Provider Demographics
NPI:1316819238
Name:LEONARD, MAYADA TRANEL - CHACHERE' (CAREGIVER)
Entity type:Individual
Prefix:
First Name:MAYADA
Middle Name:TRANEL - CHACHERE'
Last Name:LEONARD
Suffix:
Gender:F
Credentials:CAREGIVER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 674
Mailing Address - Street 2:
Mailing Address - City:DANA POINT
Mailing Address - State:CA
Mailing Address - Zip Code:92629-0674
Mailing Address - Country:US
Mailing Address - Phone:949-312-7735
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 174
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:OH
Practice Address - Zip Code:45103-0174
Practice Address - Country:US
Practice Address - Phone:949-312-7735
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-19
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty