MEDICARE: OHANA MUA

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1124974894
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OHANA MUA

Provider Business Mailing Address
First Line	:	45 ERIEVIEW PLZ APT 1202
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44114-1904
Country	:	US
Telephone Number	:	216-347-5511
Fax Number	:	216-201-5510

Provider Business Practice Location Address
First Line	:	45 ERIEVIEW PLZ APT 1202
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44114-1904
Country	:	US
Telephone Number	:	216-347-5511
Fax Number	:	216-201-5510

Authorized Official
Title or Position	:	OWNER
Name	:	MS. JASHAUNA HUDSON
Credential	:
Telephone Number	:	216-347-5511

Provider Enumeration Date	:	03/05/2026
Last Update Date	:	03/05/2026

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Directions to “OHANA MUA ” Practice Location

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