Healthcare Provider Details

I. General information

NPI: 1255249876
Provider Name (Legal Business Name): MERIAH PATRICE MERRIWEATHER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17408 TALFORD AVE
CLEVELAND OH
44128-1644
US

IV. Provider business mailing address

17408 TALFORD AVE
CLEVELAND OH
44128-1644
US

V. Phone/Fax

Practice location:
  • Phone: 216-301-9993
  • Fax:
Mailing address:
  • Phone: 216-301-9993
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License NumberRU778050
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License NumberRU778050
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: