Provider Demographics
NPI:1902687676
Name:ADEN, FAWZIA HU I
Entity type:Individual
Prefix:
First Name:FAWZIA
Middle Name:HU
Last Name:ADEN
Suffix:I
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 1:4635 THORNOAK DR
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43123-8421
Mailing Address - Country:US
Mailing Address - Phone:614-377-2930
Mailing Address - Fax:
Practice Address - Street 1:4635 THORNOAK DR
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:OH
Practice Address - Zip Code:43123-8421
Practice Address - Country:US
Practice Address - Phone:614-377-2930
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-09
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
253Z00000X, 385H00000X
OH376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care