Provider Demographics
NPI:1881569531
Name:HILL, TANIESHA SHAWNITA
Entity type:Individual
Prefix:
First Name:TANIESHA
Middle Name:SHAWNITA
Last Name:HILL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1342 MEADOWBROOK AVE SE
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44484-4564
Mailing Address - Country:US
Mailing Address - Phone:330-974-2414
Mailing Address - Fax:
Practice Address - Street 1:1342 MEADOWBROOK AVE SE
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44484-4564
Practice Address - Country:US
Practice Address - Phone:330-974-2414
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-10
Last Update Date:2025-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSN896818374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide