Provider Demographics
NPI:1821894692
Name:RICKS, NAKITA
Entity type:Individual
Prefix:
First Name:NAKITA
Middle Name:
Last Name:RICKS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1149 DOVER AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44320-3528
Mailing Address - Country:US
Mailing Address - Phone:216-438-0650
Mailing Address - Fax:
Practice Address - Street 1:1149 DOVER AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44320-3528
Practice Address - Country:US
Practice Address - Phone:216-438-0650
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-21
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health