Healthcare Provider Details

I. General information

NPI: 1447171863
Provider Name (Legal Business Name): ERICA RICHARDSON-ANDERSON STNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4930 RALPH AVE APT 1
CINCINNATI OH
45238-3888
US

IV. Provider business mailing address

4930 RALPH AVE APT 1
CINCINNATI OH
45238-3888
US

V. Phone/Fax

Practice location:
  • Phone: 720-300-8861
  • Fax:
Mailing address:
  • Phone: 720-300-8861
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number400014690801
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: