MEDICARE: SHANIECE FARLEY

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
2	376K00000X	Nurse's Aide		OH
3	164W00000X	Licensed Practical Nurse	185637	OH

General Provider Information

NPI Number	:	1487169033
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANIECE FARLEY

Provider Business Mailing Address
First Line	:	24700 ALBERTON RD
Second Line	:
City	:	EUCLID
State	:	OH
Zip	:	44123-2353
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7020 LONG RUN LN
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28216-5615
Country	:	US
Telephone Number	:	216-294-9131
Fax Number	:

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

Provider Enumeration Date	:	12/05/2017
Last Update Date	:	07/10/2024

Similar Medicare Providers

1487500450 — YASMIN DUNTON COTA
Practice Location Address:

4917 TRAYNOR RD
CHARLOTTE, NC
28216-0319

Practice Phone: 910-977-1712
Practice Fax:

1831701903 — ANOTHER CHANCE: HOUSE OF REFUGE, INC
Practice Location Address:

1818 KENNESAW DR
CHARLOTTE, NC
28216-4825

Practice Phone: 704-562-7500
Practice Fax: 704-910-5576

1023851730 — TOGETHER WE CARE HOME HEALTHCARE LLC
Practice Location Address:

3310 DUNN COMMONS PKWY APT 109
CHARLOTTE, NC
28216-6791

Practice Phone: 980-273-2719
Practice Fax:

1750237657 — LOVE JUNE TRANSPORTATION LLC
Practice Location Address:

8825 ASPINWALL DR APT 108
CHARLOTTE, NC
28216-9035

Practice Phone: 404-938-7229
Practice Fax:

1760338297 — STEP BY STEP COUNSELING & COMMUNITY SERVICES PLLC
Practice Location Address:

7206 WATTSDALE AVE
CHARLOTTE, NC
28216-7664

Practice Phone: 704-606-3033
Practice Fax:

1265438089 — EVA MAE STASSEN FNP
Practice Location Address:

3500 MOUNT HOLLY HUNTERSVILLE RD , STE 200
CHARLOTTE, NC
28216-8644

Practice Phone: 704-399-7800
Practice Fax: 704-399-7717

Directions to “ SHANIECE FARLEY ” 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.