CERISSE TUCKER PTA NPI 1043602998

NPI Information

NPI: 1043602998
Provider Name: CERISSE TUCKER, PTA
Classification: Skilled Nursing Facility - 3140N1450X
Entity Type: Individual

Specialization: Nursing Care, Pediatric

Address:
15604 STEINWAY BLVD
MAPLE HEIGHTS, OH
ZIP 44137
Phone: (216) 326-1109
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Cerisse Tucker, PTA is a nursing care and pediatric skilled nursing facility in Maple Heights, OH. The provider is a nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. Cerisse Tucker, PTA NPI is 1043602998. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

15604 STEINWAY BLVD
MAPLE HEIGHTS, OH
ZIP 44137-629
Phone: (216) 326-1109

The enumeration date for this NPI number is 3/2/2015 and was last updated on 3/2/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	282N00000X	General Acute Care Hospital		09429	OHIO	No
2	302R00000X	Health Maintenance Organization		09429	OHIO	No
3	3140N1450X	Skilled Nursing Facility	Nursing Care, Pediatric	09429	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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