Provider Demographics
NPI:1710724372
Name:TAYLOR, ERICKA
Entity type:Individual
Prefix:
First Name:ERICKA
Middle Name:
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27500 BISHOP PARK DR APT 917
Mailing Address - Street 2:
Mailing Address - City:WILLOUGHBY HILLS
Mailing Address - State:OH
Mailing Address - Zip Code:44092-2760
Mailing Address - Country:US
Mailing Address - Phone:216-650-7510
Mailing Address - Fax:216-650-7510
Practice Address - Street 1:27500 BISHOP PARK DR APT 917
Practice Address - Street 2:
Practice Address - City:WILLOUGHBY HILLS
Practice Address - State:OH
Practice Address - Zip Code:44092-2760
Practice Address - Country:US
Practice Address - Phone:216-650-7510
Practice Address - Fax:216-650-7510
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-11
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver
No347C00000XTransportation ServicesPrivate Vehicle
No372600000XNursing Service Related ProvidersAdult Companion
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant