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
| Taxonomy | Code | License |
|---|---|---|
| Adult Companion | 372600000X | None listed |
| Technician | 374700000X | None listed |
| Personal Care Attendant | 3747P1801X | None listed |
| Home Health Aide Primary | 374U00000X | None 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.