Healthcare Provider Details

I. General information

NPI: 1346079423
Provider Name (Legal Business Name): CHEVE FRIERSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2024
Last Update Date: 05/01/2025
Certification Date: 05/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 SUPERIOR AVE E STE 1618
CLEVELAND OH
44114-2709
US

IV. Provider business mailing address

15503 EDGEWOOD AVE # 204
MAPLE HEIGHTS OH
44137-3907
US

V. Phone/Fax

Practice location:
  • Phone: 216-209-8799
  • Fax:
Mailing address:
  • Phone: 216-209-8799
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateOH
# 6
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number186919
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: