MEDICARE: SHAIANN WHITE

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	376J00000X	Homemaker

General Provider Information

NPI Number	:	1174457857
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAIANN WHITE

Provider Business Mailing Address
First Line	:	109 COMMONWEALTH AVE NE
Second Line	:
City	:	MASSILLON
State	:	OH
Zip	:	44646-4240
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	109 COMMONWEALTH AVE NE
Second Line	:
City	:	MASSILLON
State	:	OH
Zip	:	44646-4240
Country	:	US
Telephone Number	:	330-834-8729
Fax Number	:

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

Provider Enumeration Date	:	06/09/2026
Last Update Date	:	06/09/2026

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Directions to “ SHAIANN WHITE ” Practice Location

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