Provider Demographics
NPI:1023801081
Name:LEROY, TAKEISHA ROSE (HHA)
Entity type:Individual
Prefix:MISS
First Name:TAKEISHA
Middle Name:ROSE
Last Name:LEROY
Suffix:
Gender:F
Credentials:HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5790 FISHER DR
Mailing Address - Street 2:
Mailing Address - City:HUBER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:45424-5570
Mailing Address - Country:US
Mailing Address - Phone:326-467-1382
Mailing Address - Fax:326-467-1382
Practice Address - Street 1:5790 FISHER DR
Practice Address - Street 2:
Practice Address - City:HUBER HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:45424-5570
Practice Address - Country:US
Practice Address - Phone:326-467-1382
Practice Address - Fax:326-467-1382
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-23
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health