MEDICARE: SHALON'S CARING HANDS

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	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	378210550599	OTHER	OH	OHIO DEPARTMENT OF HEALTH

General Provider Information

NPI Number	:	1144745019
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHALON'S CARING HANDS

Provider Business Mailing Address
First Line	:	2205 JACKSON BLVD
Second Line	:
City	:	UNIVERSITY HEIGHTS
State	:	OH
Zip	:	44118
Country	:	US
Telephone Number	:	12165277293
Fax Number	:

Provider Business Practice Location Address
First Line	:	2205 JACKSON BLVD
Second Line	:
City	:	UNIVERSITY HEIGHTS
State	:	OH
Zip	:	44118-4411
Country	:	US
Telephone Number	:	216-527-7293
Fax Number	:

Authorized Official
Title or Position	:	STNA/OWNER
Name	:	MRS. SHALON KATRICE WINDETH
Credential	:
Telephone Number	:	216-527-7293

Provider Enumeration Date	:	08/11/2017
Last Update Date	:	08/11/2017

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Directions to “SHALON'S CARING HANDS ” Practice Location

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