MEDICARE: SHIAIRE LANE

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
2	374U00000X	Home Health Aide		OH

General Provider Information

NPI Number	:	1538017611
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHIAIRE LANE

Provider Business Mailing Address
First Line	:	1991 BAIRSFORD DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43232-7002
Country	:	US
Telephone Number	:	614-900-3733
Fax Number	:

Provider Business Practice Location Address
First Line	:	1991 BAIRSFORD DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43232-7002
Country	:	US
Telephone Number	:	614-900-3733
Fax Number	:

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

Provider Enumeration Date	:	03/17/2026
Last Update Date	:	03/17/2026

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Directions to “ SHIAIRE LANE ” Practice Location

Language	Start Address	Practice Location

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