Georgene Hodge

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN.091383 Issued in OH

Practice address

19716 Meadowlark LN
1
Cleveland, OH 44128-2747

Phone

(216) 357-8758

NPI assigned

Oct 13, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Georgene Cooper Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1223856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223856000000",
    "number": "1841442563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19716 MEADOWLARK LN",
            "address_2": "1",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441282747",
            "telephone_number": "216-357-8758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19716 MEADOWLARK LN",
            "address_2": "1",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441282747",
            "telephone_number": "216-357-8758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGE",
        "first_name": "GEORGENE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-13",
        "last_updated": "2008-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN.091383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GEORGENE",
            "last_name": "COOPER",
            "prefix": "MS.",
            "credential": "LPN/ WOUND NURSE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Emily Sue Hockman
• Hodan Health Services, LLC
• Hodan Home Care Plus, LLC
• Chanita Hodge, CHHA
• Corttanne T Hodge
• Marshawn William Hodge
• Michael Hodge
• Shelly Darnece Hodge
• Aryana Hodges, RBT
• Shirley Hodges

• Licensed Practical Nurse in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2008; 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.