MEDICARE: DECARLOS DEVANTE SANDERS

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		OH

General Provider Information

NPI Number	:	1396336574
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DECARLOS DEVANTE SANDERS

Provider Business Mailing Address
First Line	:	6216 STORER AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44102-5526
Country	:	US
Telephone Number	:	216-356-8371
Fax Number	:

Provider Business Practice Location Address
First Line	:	12700 SHAKER BLVD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44120-2057
Country	:	US
Telephone Number	:	216-678-9816
Fax Number	:

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

Provider Enumeration Date	:	01/29/2021
Last Update Date	:	07/29/2022

Similar Medicare Providers

1386531366 — TIKA TAYLOR
Practice Location Address:

12700 SHAKER BLVD
CLEVELAND, OH
44120-2057

Practice Phone: 216-512-3034
Practice Fax:

1205994472 — CATOOSA COUNTY PUBLIC SCHOOLS
Practice Location Address:

307 CLEVELAND ST
RINGGOLD, GA
30736-2057

Practice Phone: 706-965-4052
Practice Fax:

1659798569 — MAKEISHA GARY LPN
Practice Location Address:

3316 BERKELEY RD
CLEVELAND HTS, OH
44118-2057

Practice Phone: 216-882-7236
Practice Fax:

1275099087 — MRS. DONNALEE ANTOINETTE SOMMERS-WILLIAMS LPN
Practice Location Address:

16000 TERRACE RD APT 1606
EAST CLEVELAND, OH
44112-2057

Practice Phone: 646-584-7121
Practice Fax:

1669057667 — STANLEY NDINDA RN-BSN
Practice Location Address:

2057 HARRISON DR
CLEVELAND, OH
44143-1359

Practice Phone: 216-347-1245
Practice Fax:

1659948016 — SMART HEART HOME CARE LLC
Practice Location Address:

2057 W 99TH ST
CLEVELAND, OH
44102-3603

Practice Phone: 216-410-3009
Practice Fax:

Directions to “ DECARLOS DEVANTE SANDERS ” 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 © 2007-2025 (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.