Healthcare Provider Details

I. General information

NPI: 1558292581
Provider Name (Legal Business Name): NICHOLAS ARDEL FORD SR.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42 MOORE ST
STRUTHERS OH
44471-1917
US

IV. Provider business mailing address

42 MOORE ST
STRUTHERS OH
44471-1917
US

V. Phone/Fax

Practice location:
  • Phone: 330-942-5660
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: