Healthcare Provider Details

I. General information

NPI: 1558057877
Provider Name (Legal Business Name): DANICA WHEELER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/11/2023
Last Update Date: 12/10/2024
Certification Date: 12/10/2024
Deactivation Date: 11/20/2024
Reactivation Date: 12/10/2024

III. Provider practice location address

3428 W 88TH ST
CLEVELAND OH
44102-4824
US

IV. Provider business mailing address

3428 W 88TH ST
CLEVELAND OH
44102-4824
US

V. Phone/Fax

Practice location:
  • Phone: 440-381-6960
  • Fax:
Mailing address:
  • Phone: 440-381-6960
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License NumberRK468650
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: