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

Eleonora Tatashadze, PROVIDER

Individual provider Home Modifications Contractor · NPI 1639460371

Eleonora Tatashadze, PROVIDER is a Home Modifications Contractor in Dayton, Ohio. Practices as a sole proprietor. Licensed in Connecticut and Ohio.

Licensed in
CT, OH
In the registry since
2011
Specialties on file
2

Practice location Address checks out

6613 Finegan Dr
Dayton, OH 45424-7112
Phone: (860) 726-6200
Show map & directions

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

Specialties & licences

Home Modifications Contractor (primary) Taxonomy 171WH0202X · Licence 4203630 (OH)
Home Modifications Contractor Taxonomy 171WH0202X · Licence 0000493 (CT)

Record details

NPI number1639460371
Entity typeIndividual (Type 1)
GenderFemale
Credentials PROVIDER
Sole proprietorYes
NPI enumeratedApril 28, 2011
Last updated in NPPESDecember 24, 2020
Certification dateDecember 24, 2020

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