Provider Demographics
NPI:1437865748
Name:HUGHLEY, CARLA RACHELL
Entity Type:Individual
Prefix:MRS
First Name:CARLA
Middle Name:RACHELL
Last Name:HUGHLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:CARLA
Other - Middle Name:RACHELL
Other - Last Name:JACKSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1274 E 143RD ST
Mailing Address - Street 2:
Mailing Address - City:EAST CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44112-2529
Mailing Address - Country:US
Mailing Address - Phone:216-609-4231
Mailing Address - Fax:
Practice Address - Street 1:1274 E 143RD ST
Practice Address - Street 2:
Practice Address - City:EAST CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44112-2529
Practice Address - Country:US
Practice Address - Phone:216-609-4231
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health