Provider Demographics
NPI:1164384384
Name:MOSBY, VERNETT
Entity type:Individual
Prefix:
First Name:VERNETT
Middle Name:
Last Name:MOSBY
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 1:3366 ELSMERE RD
Mailing Address - Street 2:
Mailing Address - City:SHAKER HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44120-3442
Mailing Address - Country:US
Mailing Address - Phone:216-857-8527
Mailing Address - Fax:
Practice Address - Street 1:3366 ELSMERE RD
Practice Address - Street 2:
Practice Address - City:SHAKER HTS
Practice Address - State:OH
Practice Address - Zip Code:44120-3442
Practice Address - Country:US
Practice Address - Phone:216-857-8527
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-25
Last Update Date:2025-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care