Tiffany Booth
Individual provider Active NPI Homemaker · Brookpark, OH
NPI 1699585703 · NPPES record last updated Jan 29, 2025
Key facts
- NPI
- 1699585703
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- Practice address
- 5802 Robert Dr
Brookpark, OH 44142-2119 - Phone
- (216) 333-8839
- NPI assigned
- Jan 10, 2025
- 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 |
|---|---|---|---|---|
| Homemaker | 376J00000X | Yes |
Addresses
Primary practice location
5802 Robert Dr
Brookpark, OH 44142-2119
Mailing address
5802 Robert Dr
Brookpark, OH 44142-2119
Phone (216) 333-8839
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 Jan 29, 2025. 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.