MEDICARE: SHARON DENISE BALLARD

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	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1881550499
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARON DENISE BALLARD

Provider Business Mailing Address
First Line	:	516 POPLAR AVE NW
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44708-3857
Country	:	US
Telephone Number	:	330-896-9172
Fax Number	:	330-896-6644

Provider Business Practice Location Address
First Line	:	1932 GROSS AVE NE
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44714-2186
Country	:	US
Telephone Number	:	330-896-9172
Fax Number	:	330-896-7277

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

Provider Enumeration Date	:	12/27/2025
Last Update Date	:	12/27/2025

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Directions to “ SHARON DENISE BALLARD ” Practice Location

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