Provider Demographics
NPI:1255209672
Name:GEDEON, SARA
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:GEDEON
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 1:10014 KNOLLWOOD RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:CONCORD TOWNSHIP
Mailing Address - State:OH
Mailing Address - Zip Code:44060-6519
Mailing Address - Country:US
Mailing Address - Phone:440-853-3208
Mailing Address - Fax:
Practice Address - Street 1:10014 KNOLLWOOD RIDGE DR
Practice Address - Street 2:
Practice Address - City:CONCORD TOWNSHIP
Practice Address - State:OH
Practice Address - Zip Code:44060-6519
Practice Address - Country:US
Practice Address - Phone:440-853-3208
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-27
Last Update Date:2025-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health