Provider Demographics
NPI:1083402465
Name:HACKLER, NIKEIA (HOME HEALTH AID)
Entity type:Individual
Prefix:
First Name:NIKEIA
Middle Name:
Last Name:HACKLER
Suffix:
Gender:
Credentials:HOME HEALTH AID
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2152 W 105TH ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44102-3539
Mailing Address - Country:US
Mailing Address - Phone:216-374-7284
Mailing Address - Fax:
Practice Address - Street 1:2152 W 105TH ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44102-3539
Practice Address - Country:US
Practice Address - Phone:216-374-7284
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health