Provider Demographics
NPI:1326868183
Name:HOLLINGSHEAD, DARCELL
Entity type:Individual
Prefix:
First Name:DARCELL
Middle Name:
Last Name:HOLLINGSHEAD
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 1:19500 SHAKERWOOD RD
Mailing Address - Street 2:
Mailing Address - City:WARRENSVILLE HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44122-6612
Mailing Address - Country:US
Mailing Address - Phone:216-401-7190
Mailing Address - Fax:
Practice Address - Street 1:19500 SHAKERWOOD RD
Practice Address - Street 2:
Practice Address - City:WARRENSVILLE HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44122-6612
Practice Address - Country:US
Practice Address - Phone:216-401-7190
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-15
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker