Rucker, Lisa
Rucker, Lisa is an individual health care provider with primary practice located at 3938 E 64Th St , Cleveland OH 44105-3731. She recently has 7 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Nursing Service Related Providers / Adult Companion, Nursing Service Related Providers / Attendant Care Provider, Nursing Service Related Providers / Personal Care Attendant, Nursing Service Related Providers / Home Health Aide, Nursing Service Related Providers / Homemaker, Nursing Service Related Providers / Nurse's Aide. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Rucker, Lisa can be contacted via phone (440) 754-0404.Contact Information
Primary practice address
3938 E 64Th St
Cleveland OH 44105-3731
Phone: (440) 754-0404
Fax: (888) 670-6614
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
| Nursing Service Related Providers / Adult Companion | 372600000X | 373366980494 | Ohio |
| Nursing Service Related Providers / Attendant Care Provider | 3747A0650X | 373366980494 | Ohio |
| Nursing Service Related Providers / Personal Care Attendant | 3747P1801X | 373366980494 | Ohio |
| Nursing Service Related Providers / Home Health Aide | 374U00000X | 373366980494 | Ohio |
| Nursing Service Related Providers / Homemaker | 376J00000X | 373366980494 | Ohio |
| Nursing Service Related Providers / Nurse's Aide | 376K00000X | 373366980494 | Ohio |
Profile Details
| NPI number | 1245631894 |
|---|---|
| LBN Legal business name | Rucker, Lisa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2014 |
| Last updated | Sep 16th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245631894 | NPPES |
| Ohio | MEDICAID | 0069 |
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