Eric Branham
Individual provider Active NPI Home Health Aide · Brookpark, OH
NPI 1023707635 · NPPES record last updated May 2, 2023
Key facts
- NPI
- 1023707635
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 15909 Harrison Dr
Brookpark, OH 44142-1936 - Phone
- (216) 409-7538
- NPI assigned
- May 1, 2023
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide |
374U00000X | Yes |
Addresses
Primary practice location
15909 Harrison Dr
Brookpark, OH 44142-1936
Mailing address
15909 Harrison Dr
Brookpark, OH 44142-1936
Phone (216) 409-7538
Other providers in Brookpark, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.