Healthcare Provider Details

I. General information

NPI: 1033701958
Provider Name (Legal Business Name): MRS. ANTOINETTE PETERKIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/11/2021
Last Update Date: 04/13/2021
Certification Date: 04/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5270 WILSON MILLS RD
RICHMOND HEIGHTS OH
44143-3017
US

IV. Provider business mailing address

5270 WILSON MILLS RD
RICHMOND HEIGHTS OH
44143-3017
US

V. Phone/Fax

Practice location:
  • Phone: 216-820-0515
  • Fax:
Mailing address:
  • Phone: 216-820-0515
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: