Healthcare Provider Details

I. General information

NPI: 1306726831
Provider Name (Legal Business Name): MILLARD HOEK
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/04/2025
Last Update Date: 09/04/2025
Certification Date: 09/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13201 GRANGER RD STE 8
CLEVELAND OH
44125-1979
US

IV. Provider business mailing address

13201 GRANGER RD STE 8
CLEVELAND OH
44125-1979
US

V. Phone/Fax

Practice location:
  • Phone: 216-831-2255
  • Fax: 216-378-3906
Mailing address:
  • Phone: 216-831-2255
  • Fax: 216-378-3906

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License NumberRY069037
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: