Healthcare Provider Details

I. General information

NPI: 1891408779
Provider Name (Legal Business Name): SHERIYA PEOPLES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/05/2023
Last Update Date: 03/08/2023
Certification Date: 03/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11306 LINCOLNSHIRE DR
CINCINNATI OH
45240-2339
US

IV. Provider business mailing address

3757 WESTMONT DR APT 1
CINCINNATI OH
45205-1241
US

V. Phone/Fax

Practice location:
  • Phone: 513-799-8005
  • Fax:
Mailing address:
  • Phone: 513-432-3062
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: