Provider Demographics
NPI:1346948262
Name:THORNWELL, AARON D SR
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:D
Last Name:THORNWELL
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28601 CHAGRIN BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:WOODMERE
Mailing Address - State:OH
Mailing Address - Zip Code:44122-4556
Mailing Address - Country:US
Mailing Address - Phone:216-815-7626
Mailing Address - Fax:
Practice Address - Street 1:17006 HOLLY HILL DR
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44128-2566
Practice Address - Country:US
Practice Address - Phone:440-529-5543
Practice Address - Fax:216-815-7626
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-20
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
No172A00000XOther Service ProvidersDriver
No177F00000XOther Service ProvidersLodging
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No372500000XNursing Service Related ProvidersChore Provider