MEDICARE: TIARA HODGES

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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1891622619
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIARA HODGES

Provider Business Mailing Address
First Line	:	1100 GRAHAM ROAD CIR
Second Line	:
City	:	STOW
State	:	OH
Zip	:	44224-2901
Country	:	US
Telephone Number	:	330-928-0044
Fax Number	:	330-928-0303

Provider Business Practice Location Address
First Line	:	5300 E MAIN ST STE 103
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43213-2580
Country	:	US
Telephone Number	:	330-928-0044
Fax Number	:

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

Provider Enumeration Date	:	05/06/2026
Last Update Date	:	05/06/2026

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Directions to “ TIARA HODGES ” Practice Location

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