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

Marcellus Amadius Haynes

Individual provider Case Manager/Care Coordinator · NPI 1114674454

Marcellus Amadius Haynes is a Case Manager/Care Coordinator in Moraine, Ohio. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

3095 Kettering Blvd
Moraine, OH 45439-1983
Phone: (937) 293-8800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1114674454
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 7, 2022
Last updated in NPPESMarch 8, 2022
Certification dateMarch 8, 2022
Mailing address35 E Burton Ave, Dayton, OH 45405-4130

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