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

Dequan Willoughby

Individual provider Developmentally Disabled Services Day Training Agency · NPI 1639967177

Dequan Willoughby is a Developmentally Disabled Services Day Training Agency in Shaker Heights, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2025
Specialties on file
5

Practice location Address checks out

23570 Duffield Rd
Shaker Heights, OH 44122-3105
Phone: (162) 458-4752
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Agency (primary) Taxonomy 251E00000X
Developmentally Disabled Services Day Training Agency Taxonomy 251C00000X (OH)
Non-emergency Medical Transport (VAN) Taxonomy 343900000X
Private Vehicle Taxonomy 347C00000X
Personal Care Attendant Taxonomy 3747P1801X

Record details

NPI number1639967177
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 25, 2025
Last updated in NPPESApril 25, 2025
Certification dateApril 25, 2025
Mailing addressPo Box 22072, Beachwood, OH 44122-0072

Other providers in Shaker Heights