MEDICARE: FAYE HENDERSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1093323792
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FAYE HENDERSON

Provider Business Mailing Address
First Line	:	1490 BURLINGTON RD
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44118-1261
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1490 BURLINGTON RD
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44118-1261
Country	:	US
Telephone Number	:	216-401-1773
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2020
Last Update Date	:	07/19/2020

Similar Medicare Providers

1154616720 — MR. QUINNLON HOMER GADDIS SR. RN
Practice Location Address:

1446 BURLINGTON RD
CLEVELAND HEIGHTS, OH
44118-1261

Practice Phone: 440-533-5930
Practice Fax:

1720625254 — MI LON LAMAREA HALL
Practice Location Address:

744 E 93RD ST
CLEVELAND, OH
44108-1261

Practice Phone: 216-577-5570
Practice Fax:

1417623315 — SERENITY-COVENANT HOUSE INC.
Practice Location Address:

1261 E 71ST ST
CLEVELAND, OH
44103-1911

Practice Phone: 216-906-8522
Practice Fax:

1356206734 — YOLANDA HALL
Practice Location Address:

744 E 93RD ST
CLEVELAND, OH
44108-1261

Practice Phone: 216-577-5570
Practice Fax:

1477549764 — DR. JOSEPHINE MANGONI KOSUNICK O.D.
Practice Location Address:

1261 W ROYALTON RD
BROADVIEW HEIGHTS, OH
44147-2407

Practice Phone: 440-526-7070
Practice Fax:

1447239181 — ERIE EYE ASSOCIATES LTD
Practice Location Address:

1261 W ROYALTON RD
BROADVIEW HEIGHTS, OH
44147-2407

Practice Phone: 440-526-7070
Practice Fax:

Directions to “ FAYE HENDERSON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.