Provider Demographics
NPI:1437211265
Name:HOOD, SARAH (LPN)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:HOOD
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22888 NEWPORT LN
Mailing Address - Street 2:
Mailing Address - City:WARRENSVILLE HGTS
Mailing Address - State:OH
Mailing Address - Zip Code:44128
Mailing Address - Country:US
Mailing Address - Phone:216-581-8125
Mailing Address - Fax:
Practice Address - Street 1:22888 NEWPORT LN
Practice Address - Street 2:
Practice Address - City:WARRENSVILLE HGTS
Practice Address - State:OH
Practice Address - Zip Code:44128
Practice Address - Country:US
Practice Address - Phone:216-581-8125
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-15
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN024659164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2122090Medicaid