Healthcare Provider Details

I. General information

NPI: 1659233385
Provider Name (Legal Business Name): SYLVIA HAYNES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/01/2025
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3900 E 155TH ST
CLEVELAND OH
44128-1258
US

IV. Provider business mailing address

3900 E 155TH ST
CLEVELAND OH
44128-1258
US

V. Phone/Fax

Practice location:
  • Phone: 234-755-2575
  • Fax:
Mailing address:
  • Phone: 234-755-2575
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: