MEDICARE: SHELIA ROBERTS

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	374U00000X	Home Health Aide	RS138821	OH

General Provider Information

NPI Number	:	1295685238
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHELIA ROBERTS

Provider Business Mailing Address
First Line	:	829 W PROSPECT RD APT 5
Second Line	:
City	:	ASHTABULA
State	:	OH
Zip	:	44004-6717
Country	:	US
Telephone Number	:	440-228-6019
Fax Number	:

Provider Business Practice Location Address
First Line	:	829 W PROSPECT RD APT 5
Second Line	:
City	:	ASHTABULA
State	:	OH
Zip	:	44004-6717
Country	:	US
Telephone Number	:	440-228-6019
Fax Number	:

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

Provider Enumeration Date	:	01/29/2026
Last Update Date	:	01/29/2026

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