Provider Demographics
NPI:1598362022
Name:SCAPERATO, CHELSEA ANNE
Entity Type:Individual
Prefix:MRS
First Name:CHELSEA
Middle Name:ANNE
Last Name:SCAPERATO
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 1:55 WICKLOW DR
Mailing Address - Street 2:
Mailing Address - City:EASTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44095-1405
Mailing Address - Country:US
Mailing Address - Phone:440-669-6474
Mailing Address - Fax:
Practice Address - Street 1:55 WICKLOW DR
Practice Address - Street 2:
Practice Address - City:EASTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44095-1405
Practice Address - Country:US
Practice Address - Phone:440-669-6474
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-07
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker