Provider Demographics
NPI:1386488674
Name:BAILEY, NATASHA (LNHA)
Entity type:Individual
Prefix:
First Name:NATASHA
Middle Name:
Last Name:BAILEY
Suffix:
Gender:F
Credentials:LNHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3064 COUNTY ROAD V
Mailing Address - Street 2:
Mailing Address - City:LIBERTY CENTER
Mailing Address - State:OH
Mailing Address - Zip Code:43532
Mailing Address - Country:US
Mailing Address - Phone:419-277-3804
Mailing Address - Fax:
Practice Address - Street 1:1458 WILDERNESS DR
Practice Address - Street 2:
Practice Address - City:MAUMEE
Practice Address - State:OH
Practice Address - Zip Code:43537-2621
Practice Address - Country:US
Practice Address - Phone:419-460-3128
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-21
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No376K00000XNursing Service Related ProvidersNurse's Aide