MEDICARE: MONICA HACKLEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1598454183
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONICA HACKLEY

Provider Business Mailing Address
First Line	:	1825 JASON DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43227-2554
Country	:	US
Telephone Number	:	614-270-4786
Fax Number	:

Provider Business Practice Location Address
First Line	:	598 S ASHBURTON RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43213-2702
Country	:	US
Telephone Number	:	380-276-9180
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/01/2023
Last Update Date	:	11/24/2025

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Directions to “ MONICA HACKLEY ” Practice Location

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