Healthcare Provider Details

I. General information

NPI: 1255838983
Provider Name (Legal Business Name): MICHELLE SHARPE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/10/2018
Last Update Date: 09/11/2024
Certification Date: 09/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

880 HERRICK RD
CLEVELAND OH
44108-2803
US

IV. Provider business mailing address

880 HERRICK RD
CLEVELAND OH
44108-2803
US

V. Phone/Fax

Practice location:
  • Phone: 330-415-5505
  • Fax:
Mailing address:
  • Phone: 216-258-1870
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number402026111217
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number402026111217
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: