Ireaon Cooper

Individual provider Active NPI Home Health Aide · Struthers, OH

NPI 1225626401 · NPPES record last updated Jan 4, 2021

Key facts

NPI
1225626401
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Aide 374U00000X
Practice address
528 4TH St
Struthers, OH 44471-1853
Phone
(330) 883-3054
NPI assigned
Jan 4, 2021
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)CodeLicenseStatePrimary
Home Health Aide 374U00000X Yes

Addresses

Primary practice location

528 4TH St
Struthers, OH 44471-1853

Mailing address

528 4TH St
Struthers, OH 44471-1853
Phone (330) 883-3054

Other providers in Struthers, OH

All providers in Struthers, OH · Home Health Aide in Ohio

Sources for this page

Verify at the official NPI Registry.