MEDICARE: SHANNON GLAGOLA

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	253Z00000X	In Home Supportive Care Agency	1828571	OH

General Provider Information

NPI Number	:	1932715919
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANNON GLAGOLA

Provider Business Mailing Address
First Line	:	11401 GOVERNOR AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44111-3675
Country	:	US
Telephone Number	:	216-512-4265
Fax Number	:

Provider Business Practice Location Address
First Line	:	11401 GOVERNOR AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44111-3675
Country	:	US
Telephone Number	:	216-512-4265
Fax Number	:

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

Provider Enumeration Date	:	09/16/2020
Last Update Date	:	09/16/2020

Similar Medicare Providers

1790630861 — JILLENE PRUIETT
Practice Location Address:

11409 GOVERNOR AVE
CLEVELAND, OH
44111-3675

Practice Phone: 216-412-1339
Practice Fax:

1306653860 — KURT BRUCE HERRIN
Practice Location Address:

3675 W 148TH ST
CLEVELAND, OH
44111-3138

Practice Phone: 216-906-9126
Practice Fax:

1245002716 — MM CARE SERVICES LLC
Practice Location Address:

3350 CLEVELAND AVE # 1936
COLUMBUS, OH
43224-3675

Practice Phone: 614-592-8547
Practice Fax:

1134997513 — MARSHALL LAWRENCE ARNWINE
Practice Location Address:

3675 MONTICELLO BLVD
CLEVELAND HTS, OH
44121-1581

Practice Phone: 216-971-0795
Practice Fax:

1245108216 — MYESHA JONES
Practice Location Address:

3675 E 112TH ST
CLEVELAND, OH
44105-2534

Practice Phone: 216-854-5945
Practice Fax:

1013862457 — DARREN LAMBERT
Practice Location Address:

17407 LORAIN AVE STE 201
CLEVELAND, OH
44111-4022

Practice Phone: 440-363-1718
Practice Fax:

Directions to “ SHANNON GLAGOLA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.