Healthcare Provider Details

I. General information

NPI: 1710826060
Provider Name (Legal Business Name): TIFFANY DENISE TAYLOR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/25/2026
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2106 HELMSDALE DR
EUCLID OH
44143-1650
US

IV. Provider business mailing address

2106 HELMSDALE DR
EUCLID OH
44143-1650
US

V. Phone/Fax

Practice location:
  • Phone: 216-825-1377
  • Fax: 216-825-1377
Mailing address:
  • Phone: 216-825-1377
  • Fax: 216-825-1377

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: