Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Self Employee

Organization Adult Care Home Facility · NPI 1669709606

Self Employee is an Adult Care Home Facility in Dayton, Ohio. Licensed in Ohio. Registered with an NPI since 2009.

Licensed in
OH
In the registry since
2009
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Practice location Address checks out

3053 Nicholas Rd
Dayton, OH 45417-4322
Phone: (937) 516-7887
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Care Home Facility (primary) Taxonomy 311ZA0620X · Licence PN134284IV (OH)

Record details

NPI number1669709606
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kania McCleskey — Lpn · (937) 516-7887
NPI enumeratedNovember 12, 2009
Last updated in NPPESMarch 6, 2013
Mailing address3053 Nicholas Rd, Dayton, OH 45417-4322

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