Tara M. Carroll
Case Manager/Care Coordinator in Dayton, OH. Individual provider (NPI-1).
NPI number1669170486
StatusActive
Last updated in NPPESFeb 21, 2023
Details
- NPI
- 1669170486
- Entity type
- Individual (NPI-1)
- Name
- Tara M. Carroll
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 21, 2023
- Certification date
- Feb 21, 2023
- Last updated
- Feb 21, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
2555 S Dixie Dr Ste 260Dayton, OH 45409-1542
Phone 937-853-9061 · Fax 937-853-9069
Mailing address
10100 Elida RdDelphos, OH 45833-9056
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 1,277 Case Manager/Care Coordinator providers in Dayton · All 15,314 providers in Dayton
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