MEDICARE: JAZMINE CALDWELL

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

General Provider Information

NPI Number	:	1679436935
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAZMINE CALDWELL

Provider Business Mailing Address
First Line	:	952 QUARRY DR
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44121-2469
Country	:	US
Telephone Number	:	216-801-0884
Fax Number	:

Provider Business Practice Location Address
First Line	:	952 QUARRY DR
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44121-2469
Country	:	US
Telephone Number	:	216-801-0884
Fax Number	:

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

Provider Enumeration Date	:	12/04/2025
Last Update Date	:	12/04/2025

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Directions to “ JAZMINE CALDWELL ” Practice Location

Language	Start Address	Practice Location

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