Individual provider · Type 1 NPI

Koetta Diaz

Home Health Aide · Cleveland, OH

NPI number 1174415137 Active

Practice location

7502 Grace Ave
Cleveland, OH 44102-4240

Mailing address

2150 W 117th St
Cleveland, OH 44111-1641

Other practice locations

  • 2150 W 117th St, Cleveland, OH 44111-1641 · (216) 760-9768

Specialties and licenses

TaxonomyCodeLicense
Adult Companion 372600000XNone listed
Technician 374700000XNone listed
Personal Care Attendant 3747P1801XNone listed
Home Health Aide Primary 374U00000XNone listed

Home Health Aide: A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.

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About NPI 1174415137

Koetta Diaz's National Provider Identifier is 1174415137, issued on Jul 16, 2025. The primary taxonomy on file is Home Health Aide (374U00000X), and the practice location is in Cleveland, OH. The record was last updated on Jul 16, 2025.