MEDICARE: MS. TANEISHA BLACK STNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376K00000X	Nurse's Aide	401678250814	OH

General Provider Information

NPI Number	:	1063895696
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TANEISHA BLACK STNA

Provider Business Mailing Address
First Line	:	10127 SOUTH BLVD
Second Line	:	APT 3
City	:	CLEVELAND
State	:	OH
Zip	:	44108-3473
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10127 SOUTH BLVD
Second Line	:	APT 3
City	:	CLEVELAND
State	:	OH
Zip	:	44117
Country	:	US
Telephone Number	:	216-255-1853
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2015
Last Update Date	:	07/01/2015

Similar Medicare Providers

1982928933 — ALLIANCE HEALTHCARE BRAEVIEW, INC.
Practice Location Address:

20611 EUCLID AVE
CLEVELAND, OH
44117-1521

Practice Phone: 216-486-9300
Practice Fax:

1023304904 — SANDRA D CARREL LISW
Practice Location Address:

25000 EUCLID AVE STE 406
CLEVELAND, OH
44117-2645

Practice Phone: 216-731-8815
Practice Fax:

1336799881 — KIMBERLY L CURL CDCA
Practice Location Address:

19350 EUCLID AVE
CLEVELAND, OH
44117-1425

Practice Phone: 216-881-0765
Practice Fax:

1164064572 — MS. JACINDA ANN COLLINS
Practice Location Address:

22639 EUCLID AVE
CLEVELAND, OH
44117-1622

Practice Phone: 216-404-1900
Practice Fax: 216-404-1901

1275172314 — MICHAEL PATRICK SCULLY
Practice Location Address:

22639 EUCLID AVE
CLEVELAND, OH
44117-1622

Practice Phone: 216-404-1900
Practice Fax:

1114511649 — MR. ED ROSA
Practice Location Address:

22639 EUCLID AVE
CLEVELAND, OH
44117-1622

Practice Phone: 216-404-1900
Practice Fax:

Directions to “ MS. TANEISHA BLACK STNA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.