Provider Demographics
NPI:1699650952
Name:HO, HIEU TRUNG
Entity type:Individual
Prefix:
First Name:HIEU
Middle Name:TRUNG
Last Name:HO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3170 ABRAMS DR
Mailing Address - Street 2:
Mailing Address - City:TWINSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:44087-3272
Mailing Address - Country:US
Mailing Address - Phone:812-499-1753
Mailing Address - Fax:
Practice Address - Street 1:3170 ABRAMS DR
Practice Address - Street 2:
Practice Address - City:TWINSBURG
Practice Address - State:OH
Practice Address - Zip Code:44087-3272
Practice Address - Country:US
Practice Address - Phone:812-499-1753
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-06
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No171R00000XOther Service ProvidersInterpreter
No376J00000XNursing Service Related ProvidersHomemaker