Marquel Monique Bolden
Individual provider Active NPI Homemaker · Maple Heights, OH
NPI 1194584755 · NPPES record last updated Mar 25, 2024
Key facts
- NPI
- 1194584755
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- Practice address
- 16001 Shirley Ave
Maple Heights, OH 44137-4616 - Phone
- (216) 372-8298
- NPI assigned
- Mar 18, 2024
- 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 |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | |||
| Adult Companion | 372600000X | |||
| Personal Care Attendant | 3747P1801X | |||
| Homemaker | 376J00000X | Yes |
Addresses
Primary practice location
16001 Shirley Ave
Maple Heights, OH 44137-4616
Mailing address
16001 Shirley Ave
Maple Heights, OH 44137-4616
Phone (216) 372-8298
Other providers in Maple Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2024. 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.