Healthcare Provider Details

I. General information

NPI: 1447706577
Provider Name (Legal Business Name): CLARA CHENG RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CLARA HSIAO-CHIH HSUEH

II. Dates (important events)

Enumeration Date: 08/29/2016
Last Update Date: 08/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7500 MOUNT RANIER
HUBER HEIGHTS OH
45424-6937
US

IV. Provider business mailing address

7500 MOUNT RANIER
HUBER HEIGHTS OH
45424-6937
US

V. Phone/Fax

Practice location:
  • Phone: 201-925-4393
  • Fax:
Mailing address:
  • Phone: 201-925-4393
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN366308
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: