Provider Demographics
NPI:1346039641
Name:AULT, WHITNEY CHEVELLE
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:CHEVELLE
Last Name:AULT
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4707 CLIFTON AVE
Mailing Address - Street 2:
Mailing Address - City:LORAIN
Mailing Address - State:OH
Mailing Address - Zip Code:44055-3069
Mailing Address - Country:US
Mailing Address - Phone:440-850-4838
Mailing Address - Fax:
Practice Address - Street 1:4707 CLIFTON AVE
Practice Address - Street 2:
Practice Address - City:LORAIN
Practice Address - State:OH
Practice Address - Zip Code:44055-3069
Practice Address - Country:US
Practice Address - Phone:440-850-4838
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-02
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver
No253Z00000XAgenciesIn Home Supportive Care