MEDICARE: LATASHA ROBINSON

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	172A00000X	Driver
2	172V00000X	Community Health Worker
3	253Z00000X	In Home Supportive Care Agency	OH
4	171M00000X	Case Manager/Care Coordinator
5	376J00000X	Homemaker

General Provider Information

NPI Number	:	1336988062
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LATASHA ROBINSON

Provider Business Mailing Address
First Line	:	24650 COLUMBUS RD
Second Line	:
City	:	BEDFORD HTS
State	:	OH
Zip	:	44146-2533
Country	:	US
Telephone Number	:	216-854-4361
Fax Number	:

Provider Business Practice Location Address
First Line	:	24650 COLUMBUS RD
Second Line	:
City	:	BEDFORD HTS
State	:	OH
Zip	:	44146-2533
Country	:	US
Telephone Number	:	216-854-4361
Fax Number	:

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

Provider Enumeration Date	:	05/22/2024
Last Update Date	:	06/23/2026

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Directions to “ LATASHA ROBINSON ” Practice Location

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