Lutacia L Fountaine
Home Health Aide in Dayton, OH. Individual provider (NPI-1).
NPI number1902508583
StatusActive
Last updated in NPPESMar 20, 2023
Details
- NPI
- 1902508583
- Entity type
- Individual (NPI-1)
- Name
- Lutacia L Fountaine
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 20, 2023
- Certification date
- Mar 19, 2023
- Last updated
- Mar 20, 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 |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
| 251C00000X | Day Training, Developmentally Disabled Services | – | – | |
| 376K00000X | Nurse's Aide | – | – |
Practice location
4609 Elmer AveDayton, OH 45417-1338
Phone 937-478-8996
Mailing address
4609 Elmer AveDayton, OH 45417-1338
Phone 937-478-8996
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 335 Home Health Aide providers in Dayton · All 15,314 providers in Dayton
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