Michele A Fakan
Individual provider Active NPI Adult Care Home Facility · Hinckley, OH
NPI 1669067153 · NPPES record last updated Mar 5, 2021
Key facts
- NPI
- 1669067153
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Care Home Facility 311ZA0620X
- Practice address
- 2590 Weymouth Rd
Hinckley, OH 44233-9510 - Phone
- (216) 262-5803
- NPI assigned
- Mar 5, 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | OH | Yes |
Addresses
Primary practice location
2590 Weymouth Rd
Hinckley, OH 44233-9510
Mailing address
2590 Weymouth Rd
Hinckley, OH 44233-9510
Phone (216) 262-5803
Other providers in Hinckley, OH
- Nichole Consavage
- Cru for You
- Michelle Dobbins
- Matthew T. Ely
- Stephen Ely
- Katherine Marie Fischer
- Foundation Health DPC, LLC
- Svitlana Galyuk
- Justina Gawel
- George Georgekopoulos
All providers in Hinckley, OH · Adult Care Home Facility 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 5, 2021. 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.