Provider Demographics
NPI:1730070624
Name:CROOKS, SAMONA MARIE
Entity type:Individual
Prefix:
First Name:SAMONA
Middle Name:MARIE
Last Name:CROOKS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SSMONA
Other - Middle Name:MARIE
Other - Last Name:CROOKS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:178 FARRAGUT RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45218-1421
Mailing Address - Country:US
Mailing Address - Phone:513-257-3126
Mailing Address - Fax:
Practice Address - Street 1:178 FARRAGUT RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45218-1421
Practice Address - Country:US
Practice Address - Phone:513-257-3126
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-10
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide