MEDICARE: DEIDRE HAYNES

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

General Provider Information

NPI Number	:	1417775107
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEIDRE HAYNES

Provider Business Mailing Address
First Line	:	11302 LANGTON AVE
Second Line	:
City	:	GARFIELD HEIGHTS
State	:	OH
Zip	:	44125-2252
Country	:	US
Telephone Number	:	216-278-2560
Fax Number	:

Provider Business Practice Location Address
First Line	:	11302 LANGTON AVE
Second Line	:
City	:	GARFIELD HEIGHTS
State	:	OH
Zip	:	44125-2252
Country	:	US
Telephone Number	:	216-278-2560
Fax Number	:

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

Provider Enumeration Date	:	10/01/2024
Last Update Date	:	10/01/2024

Similar Medicare Providers

1801126651 — KRYSTAL HUGHES NONE
Practice Location Address:

2252 S TAYLOR RD
CLEVELAND HEIGHTS, OH
44118-3035

Practice Phone: 216-659-6026
Practice Fax:

1841600996 — JORDON LEBARON
Practice Location Address:

1188 RAYMOND RD
FRUIT HEIGHTS, UT
84037-2252

Practice Phone: 801-698-6250
Practice Fax:

1932798535 — DEWAN M FORD
Practice Location Address:

2252 BROCKWAY RD
UNIVERSITY HEIGHTS, OH
44118-3050

Practice Phone: 216-688-8476
Practice Fax:

1568171833 — MR. JORDEN DENEIL BLAKELY OWNER
Practice Location Address:

6805 MAYFIELD RD APT 606
MAYFIELD HEIGHTS, OH
44124-2252

Practice Phone: 216-801-5494
Practice Fax:

1760331003 — WHOLE MIND WELLNESS INITIATIVE
Practice Location Address:

1940 STAUNTON RD
CLEVELAND HEIGHTS, OH
44118-2252

Practice Phone: 216-326-2472
Practice Fax:

1245288091 — DR. ALICJA T UCZKOWSKA MD
Practice Location Address:

54 PLAUDERVILLE AVE , SUITE 3
GARFIELD, NJ
07026-2252

Practice Phone: 973-772-0262
Practice Fax: 973-772-0265

Directions to “ DEIDRE HAYNES ” 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 © 2007-2026 (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.