HOUSECALLS OF THE FALLS NPI 1073903282

NPI Information

NPI: 1073903282
Provider Name: HOUSECALLS OF THE FALLS
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Organization

Specialization: Gerontology

CLIA Number: 36D2226547

Address:
15526 HILLIARD RD
LAKEWOOD, OH
ZIP 44107
Phone: (440) 281-6657
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HOUSECALLS OF THE FALLS is a gerontology nurse practitioner in Lakewood, OH. HOUSECALLS OF THE FALLS NPI is 1073903282. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

15526 HILLIARD RD
LAKEWOOD, OH
ZIP 44107-813
Phone: (440) 281-6657

The provider's authorized official is Marie Diana Grosh .
The authorized official title is Nurse Practitioner and has the following contact phone number (440) 281-6657.

The CLIA number assigned to this NPI record is 36D2226547 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/26/2015 and was last updated on 1/26/2015.

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	363LG0600X	Nurse Practitioner	Gerontology	COA.17027-NP	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

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