MEDICARE: NIKEISHA MITCHELL

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	385H00000X	Respite Care
2	376J00000X	Homemaker

General Provider Information

NPI Number	:	1730073453
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NIKEISHA MITCHELL

Provider Business Mailing Address
First Line	:	459 E 146TH ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44110-1866
Country	:	US
Telephone Number	:	216-835-6975
Fax Number	:

Provider Business Practice Location Address
First Line	:	459 E 146TH ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44110-1866
Country	:	US
Telephone Number	:	216-835-6975
Fax Number	:

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

Provider Enumeration Date	:	06/06/2025
Last Update Date	:	02/18/2026

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Directions to “ NIKEISHA MITCHELL ” Practice Location

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