Healthcare Provider Details

I. General information

NPI: 1205630068
Provider Name (Legal Business Name): TIERRA BILLINGSLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2025
Last Update Date: 04/10/2025
Certification Date: 04/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2315 E 38TH ST
CLEVELAND OH
44115-3049
US

IV. Provider business mailing address

2315 E 38TH ST
CLEVELAND OH
44115-3049
US

V. Phone/Fax

Practice location:
  • Phone: 216-467-1955
  • Fax:
Mailing address:
  • Phone: 216-467-1955
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: