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

Laqualyn Fuller

Individual provider Nursing Care Agency · NPI 1295331080

Laqualyn Fuller is a Nursing Care Agency in Youngstown, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2020
Specialties on file
9

Practice location Address checks out

4111 Helena Ave
Youngstown, OH 44512-1206
Phone: (330) 519-0964
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence LPN.174238 (OH)
Nursing Care Agency Taxonomy 251J00000X
Home Health Agency Taxonomy 251E00000X
Private Vehicle Taxonomy 347C00000X
Homemaker Taxonomy 376J00000X
Licensed Vocational Nurse Taxonomy 164X00000X · Licence 174238 (OH)
Chore Provider Taxonomy 372500000X
Meals Provider Taxonomy 174200000X
Registered Nurse Taxonomy 163W00000X · Licence RN.554497 (OH)

Record details

NPI number1295331080
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 8, 2020
Last updated in NPPESJune 2, 2026
Certification dateJune 2, 2026
Mailing address4111 Helena Ave, Youngstown, OH 44512-1206

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