Healthcare Provider Details

I. General information

NPI: 1114883162
Provider Name (Legal Business Name): SHERRIE LATON FORD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/02/2026
Last Update Date: 01/02/2026
Certification Date: 01/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4360 NORTHFIELD RD APT Y312
CLEVELAND OH
44128-4690
US

IV. Provider business mailing address

4360 NORTHFIELD RD APT Y312
CLEVELAND OH
44128-4690
US

V. Phone/Fax

Practice location:
  • Phone: 216-477-2745
  • Fax:
Mailing address:
  • Phone: 216-477-2745
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number376360000497
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number376360000497
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number376360000497
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code172A00000X
TaxonomyDriver
License Number376360000497
License Number StateOH
# 5
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number376360000497
License Number StateOH
# 6
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number376360000497
License Number StateOH
# 7
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number376360000497
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: