MEDICARE: KISHA JEFFERSON STNA

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	251E00000X	Home Health Agency	322541220114	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1104352657
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KISHA JEFFERSON STNA

Provider Business Mailing Address
First Line	:	3788 W 130TH ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44111-3319
Country	:	US
Telephone Number	:	216-801-9227
Fax Number	:

Provider Business Practice Location Address
First Line	:	3788 W 130TH ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44111-3319
Country	:	US
Telephone Number	:	216-801-9227
Fax Number	:

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

Provider Enumeration Date	:	05/03/2017
Last Update Date	:	05/03/2017

Similar Medicare Providers

1215904503 — MR. JANET L. SHARP M.A., LPCC-S
Practice Location Address:

2710 DERBYSHIRE RD
CLEVELAND HEIGHTS, OH
44106-3319

Practice Phone: 216-321-5920
Practice Fax: 216-321-5920

1194510511 — MRS. CARMEN LUZ RIVERA
Practice Location Address:

1435 W 54TH ST
CLEVELAND, OH
44102-3319

Practice Phone: 216-407-4534
Practice Fax:

1053102475 — TIFFANY CURRY
Practice Location Address:

1016 E 147TH ST
CLEVELAND, OH
44110-3319

Practice Phone: 440-825-2582
Practice Fax: 440-825-2582

1891636486 — MS. LOENA BYNUM RODGERS CN
Practice Location Address:

15728 LORAIN AVE UNIT 398
CLEVELAND, OH
44111-5542

Practice Phone: 818-860-2156
Practice Fax:

1568167229 — ARAVINTHAN VIGNARAJAH
Practice Location Address:

18101 LORAIN AVE
CLEVELAND, OH
44111-5612

Practice Phone: 216-476-7000
Practice Fax:

1184566648 — MADISON LEGG
Practice Location Address:

3951 ROCKY RIVER DR
CLEVELAND, OH
44111-4154

Practice Phone: 216-675-6360
Practice Fax:

Directions to “ KISHA JEFFERSON STNA” 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.