Healthcare Provider Details

I. General information

NPI: 1215453675
Provider Name (Legal Business Name): IHEOMA NJOKU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2017
Last Update Date: 08/17/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15409 EUCLID AVE APT 108
EAST CLEVELAND OH
44112-2835
US

IV. Provider business mailing address

1858 LAMPSON RD
CLEVELAND OH
44112-1530
US

V. Phone/Fax

Practice location:
  • Phone: 216-450-9961
  • Fax:
Mailing address:
  • Phone: 216-512-3248
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: