MEDICARE: TEHRON WHITE

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	376J00000X	Homemaker		OH
2	171M00000X	Case Manager/Care Coordinator

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	:	1154286078
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TEHRON WHITE

Provider Business Mailing Address
First Line	:	7615 KEY WEST DR
Second Line	:
City	:	PARMA
State	:	OH
Zip	:	44134-6624
Country	:	US
Telephone Number	:	216-392-9724
Fax Number	:

Provider Business Practice Location Address
First Line	:	7615 KEY WEST DR
Second Line	:
City	:	PARMA
State	:	OH
Zip	:	44134-6624
Country	:	US
Telephone Number	:	215-392-9724
Fax Number	:

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

Provider Enumeration Date	:	12/23/2025
Last Update Date	:	06/09/2026

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Directions to “ TEHRON WHITE ” Practice Location

Language	Start Address	Practice Location

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