MEDICARE: JUSTIN HAYWARD COTA/L

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	224Z00000X	Occupational Therapy Assistant	OTA006782

General Provider Information

NPI Number	:	1093227621
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUSTIN HAYWARD COTA/L

Provider Business Mailing Address
First Line	:	19900 CLARE AVE
Second Line	:
City	:	MAPLE HEIGHTS
State	:	OH
Zip	:	44137-1806
Country	:	US
Telephone Number	:	216-662-3343
Fax Number	:	216-662-1887

Provider Business Practice Location Address
First Line	:	19900 CLARE AVE
Second Line	:
City	:	MAPLE HEIGHTS
State	:	OH
Zip	:	44137-1806
Country	:	US
Telephone Number	:	216-662-3343
Fax Number	:	216-662-1887

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

Provider Enumeration Date	:	11/05/2017
Last Update Date	:	11/05/2017

Similar Medicare Providers

1063402451 — EASTSIDE MULTI-CARE INC
Practice Location Address:

19900 CLARE AVE
MAPLE HTS, OH
44137-1806

Practice Phone: 216-662-3343
Practice Fax: 216-662-1887

1750534756 — BHG SUNRISE LLC
Practice Location Address:

19900 CLARE AVE
MAPLE HEIGHTS, OH
44137-1806

Practice Phone: 216-662-3343
Practice Fax: 216-662-1887

1801031224 — SUNRISE LEASING CORP
Practice Location Address:

19900 CLARE AVE
MAPLE HEIGHTS, OH
44137-1806

Practice Phone: 216-662-3343
Practice Fax:

1699036228 — SUNRISE HEALTHCARE GROUP, LLC
Practice Location Address:

19900 CLARE AVE
MAPLE HEIGHTS, OH
44137-1806

Practice Phone: 216-662-3343
Practice Fax: 216-662-1887

1952879538 — PHOENIX MAPLE HEIGHTS OPERATING CO., LLC
Practice Location Address:

19900 CLARE AVE
MAPLE HEIGHTS, OH
44137-1806

Practice Phone: 216-662-3343
Practice Fax: 216-662-1887

1992193841 — MRS. WILLIE PEARL FREEMAN
Practice Location Address:

19900 CLARE AVE
CLEVELAND, OH
44137-1806

Practice Phone: 216-662-3343
Practice Fax:

Directions to “ JUSTIN HAYWARD COTA/L” 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.