MEDICARE: AYANNA WHITE

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	343900000X	Non-emergency Medical Transport (VAN)		OH
2	376J00000X	Homemaker		OH

General Provider Information

NPI Number	:	1588523443
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AYANNA WHITE

Provider Business Mailing Address
First Line	:	5905 ELLEN AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44102-3128
Country	:	US
Telephone Number	:	440-590-0229
Fax Number	:

Provider Business Practice Location Address
First Line	:	5905 ELLEN AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44102-3128
Country	:	US
Telephone Number	:	440-590-0229
Fax Number	:

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

Provider Enumeration Date	:	01/16/2026
Last Update Date	:	01/16/2026

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Directions to “ AYANNA WHITE ” Practice Location

Language	Start Address	Practice Location

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