Healthcare Provider Details

I. General information

NPI: 1003735069
Provider Name (Legal Business Name): ALISHA SHARICE SWEENEY LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

509 STONELEDGE DR
RICHMOND HTS OH
44143-2580
US

IV. Provider business mailing address

509 STONELEDGE DR
RICHMOND HTS OH
44143-2580
US

V. Phone/Fax

Practice location:
  • Phone: 216-323-6648
  • Fax:
Mailing address:
  • Phone: 216-323-6648
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number158870
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: