Provider Demographics
NPI:1952183857
Name:TAYONG, NAPOLEON AJEME
Entity Type:Individual
Prefix:
First Name:NAPOLEON
Middle Name:AJEME
Last Name:TAYONG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4576 BLACKBERRY CIR
Mailing Address - Street 2:
Mailing Address - City:RAVENNA
Mailing Address - State:OH
Mailing Address - Zip Code:44266-7841
Mailing Address - Country:US
Mailing Address - Phone:701-770-3103
Mailing Address - Fax:
Practice Address - Street 1:4576 BLACKBERRY CIR
Practice Address - Street 2:
Practice Address - City:RAVENNA
Practice Address - State:OH
Practice Address - Zip Code:44266-7841
Practice Address - Country:US
Practice Address - Phone:701-770-3103
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-17
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251G00000X, 251X00000X, 253Z00000X, 347C00000X, 374U00000X
OH322084360609376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
No251G00000XAgenciesHospice Care, Community Based
No251X00000XAgenciesSupports Brokerage
No253Z00000XAgenciesIn Home Supportive Care
No347C00000XTransportation ServicesPrivate Vehicle
No374U00000XNursing Service Related ProvidersHome Health Aide