Provider Demographics
NPI:1699189340
Name:HILLS, SHERLAN (HOME HEALTH AIDE)
Entity Type:Individual
Prefix:
First Name:SHERLAN
Middle Name:
Last Name:HILLS
Suffix:
Gender:F
Credentials:HOME HEALTH AIDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2240 9TH ST SW
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44314-2129
Mailing Address - Country:US
Mailing Address - Phone:330-459-1544
Mailing Address - Fax:
Practice Address - Street 1:2240 9TH ST SW
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44314-2129
Practice Address - Country:US
Practice Address - Phone:330-459-1544
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-19
Last Update Date:2014-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2204600172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker