Provider Demographics
NPI:1518767581
Name:DAVIS, OLIVIA
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:
Last Name:DAVIS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1412 NOME AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44320-3345
Mailing Address - Country:US
Mailing Address - Phone:234-716-7384
Mailing Address - Fax:
Practice Address - Street 1:1412 NOME AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44320-3345
Practice Address - Country:US
Practice Address - Phone:234-716-7384
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-18
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No174200000XOther Service ProvidersMeals
No251E00000XAgenciesHome Health
No332U00000XSuppliersHome Delivered Meals
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant