Provider Demographics
NPI:1447915244
Name:HELLER, ELEANOR D
Entity type:Individual
Prefix:
First Name:ELEANOR
Middle Name:D
Last Name:HELLER
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 1:1088 CUMBERLAND DR
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44306-3814
Mailing Address - Country:US
Mailing Address - Phone:234-863-2524
Mailing Address - Fax:
Practice Address - Street 1:1088 CUMBERLAND DR
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44306-3814
Practice Address - Country:US
Practice Address - Phone:234-863-2524
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-05
Last Update Date:2021-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH401093810610374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide