Healthcare Provider Details

I. General information

NPI: 1629903299
Provider Name (Legal Business Name): MR. HARRY M. BAKER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1166 ATWOOD DR
CLEVELAND OH
44108-4064
US

IV. Provider business mailing address

1166 ATWOOD DR
CLEVELAND OH
44108-4064
US

V. Phone/Fax

Practice location:
  • Phone: 682-438-9704
  • Fax:
Mailing address:
  • Phone: 682-438-9704
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: