MEDICARE: TAVEION TINSLEY

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	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1801476866
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAVEION TINSLEY

Provider Business Mailing Address
First Line	:	27140 MALLARD AVE
Second Line	:
City	:	EUCLID
State	:	OH
Zip	:	44132-1519
Country	:	US
Telephone Number	:	216-820-8976
Fax Number	:

Provider Business Practice Location Address
First Line	:	27070 CEDAR RD
Second Line	:
City	:	BEACHWOOD
State	:	OH
Zip	:	44122-8131
Country	:	US
Telephone Number	:	216-303-4794
Fax Number	:

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

Provider Enumeration Date	:	04/13/2021
Last Update Date	:	04/13/2021

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Directions to “ TAVEION TINSLEY ” Practice Location

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