Provider Demographics
NPI:1821591223
Name:COX, MINDY ELAINE (CHW , CAC)
Entity Type:Individual
Prefix:MISS
First Name:MINDY
Middle Name:ELAINE
Last Name:COX
Suffix:
Gender:F
Credentials:CHW , CAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1354 SPARHAWK AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44305-1029
Mailing Address - Country:US
Mailing Address - Phone:330-322-0914
Mailing Address - Fax:
Practice Address - Street 1:1354 SPARHAWK AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44305-1029
Practice Address - Country:US
Practice Address - Phone:330-322-0914
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-12
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH001937172V00000X
OH171M00000X
376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No376J00000XNursing Service Related ProvidersHomemaker