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RICARDO T. WALLACE
NPI 1104586510
Home Health Aide in Cleveland, OH

Active since December 27, 2021
3691 E 110TH ST, CLEVELAND, OH 44105(216) 323-4976 Get Directions Write a Review

NPPES record last updated: December 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ricardo T. Wallace NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RICARDO T. WALLACE (NPI 1104586510) is an individual home health aide in Cleveland, Ohio and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1104586510
Entity TypeIndividualMale
Primary Taxonomy374U00000X
Provider Legal NameRICARDO T. WALLACE
Location Address3691 E 110TH STCleveland, OH 44105-2426
Mailing Address3691 E 110th StCleveland, OH 44105-2426 · (216) 323-4976
Phone(216) 323-4976
Sole ProprietorYes
Enumeration DateDecember 27, 2021
NPPES CertifiedJanuary 21, 2021
✔ NPI 1104586510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome Health AideNursing Service Related Providers
Taxonomy Code374U00000X
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
3691 E 110TH ST, Cleveland, OH 44105
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ricardo Wallace's NPI number?

The NPI number for Ricardo Wallace is 1104586510. It was assigned to this individual provider in the NPPES registry on December 27, 2021.

Where is Ricardo Wallace located?

Ricardo Wallace practices at 3691 E 110th St, Cleveland, OH 44105. The listed phone number is (216) 323-4976.

What is Ricardo Wallace's specialty?

The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.

When was this NPI record last updated?

The NPPES record for Ricardo Wallace was last updated on December 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.