GERIATRIC SPECIALTY CARE LLC NPI 1154574630

NPI Information

  • NPI: 1154574630
  • Provider Name: GERIATRIC SPECIALTY CARE LLC
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Organization
  • Doing Business As: ALICIA WOLF NP
  • Address: 85 3RD ST SE
    BARBERTON, OH
    ZIP 44203
  • Phone: (440) 666-6457

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NPI Details

GERIATRIC SPECIALTY CARE LLC is a gerontology nurse practitioner in Barberton, OH. GERIATRIC SPECIALTY CARE LLC NPI is 1154574630. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Alicia Wolf Np.

The provider's business location address is:

85 3RD ST SE
BARBERTON, OH
ZIP 44203-208
Phone: (440) 666-6457

The provider's authorized official is Alicia Wolf .
The authorized official title is Managing Member and has the following contact phone number (440) 666-6457.

The enumeration date for this NPI number is 10/29/2008 and was last updated on 1/20/2021.

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
1363LG0600XNurse PractitionerGerontologyCOA08023-NPOHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12881725MEDICAIDOHIO

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: 11/21/2025

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