Provider Demographics
NPI:1578799557
Name:ACOFF, TASHAE D (CERTIFIED HHA)
Entity Type:Individual
Prefix:
First Name:TASHAE
Middle Name:D
Last Name:ACOFF
Suffix:
Gender:F
Credentials:CERTIFIED HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26720 WHITEWAY DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44143-1110
Mailing Address - Country:US
Mailing Address - Phone:216-326-3694
Mailing Address - Fax:
Practice Address - Street 1:25450 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44117-2641
Practice Address - Country:US
Practice Address - Phone:216-326-3694
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-04
Last Update Date:2009-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide