Aquila Peacock-Coward

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

4870 Som Center Rd
Moreland Hills, OH 44022-2326

Phone

(216) 496-3489

NPI assigned

Dec 28, 2020

Last updated

Dec 28, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1811584683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4870 SOM CENTER RD",
            "city": "MORELAND HILLS",
            "state": "OH",
            "postal_code": "440222326",
            "telephone_number": "216-496-3489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4870 SOM CENTER RD",
            "city": "MORELAND HILLS",
            "state": "OH",
            "postal_code": "440222326",
            "telephone_number": "216-496-3489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEACOCK-COWARD",
        "first_name": "AQUILA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-28",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0108061",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Aide in Moreland Hills, OH
• Providers in Moreland Hills, OH by specialty
• Home Health Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.