Susan Booth
Individual provider Active NPI Personal Care Attendant · Brookpark, OH
NPI 1104772516 · NPPES record last updated Mar 9, 2026
Key facts
- NPI
- 1104772516
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 5961 Smith Rd
Brookpark, OH 44142-2432 - Phone
- (440) 520-2586
- NPI assigned
- Mar 9, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
5961 Smith Rd
Brookpark, OH 44142-2432
Mailing address
5961 Smith Rd
Brookpark, OH 44142-2432
Other providers in Brookpark, OH
- Filmer Beringuel
- Amanda J Birce
- Jean Bjorn
- Angela Blair
- Mary Boksansky
- Tiffany Booth
- John S Bostic
- Madonna Bowen
- Eric Branham
- Brook Park Functional Rehab
All providers in Brookpark, OH · Personal Care Attendant in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2026. 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.