MEDICARE: EBONY GIBSON

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	3747P1801X	Personal Care Attendant
2	374U00000X	Home Health Aide	3116HHN	OH

General Provider Information

NPI Number	:	1164942496
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EBONY GIBSON

Provider Business Mailing Address
First Line	:	3206 E 140TH ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44120-3233
Country	:	US
Telephone Number	:	216-339-6274
Fax Number	:

Provider Business Practice Location Address
First Line	:	3206 E 140TH ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44120-3233
Country	:	US
Telephone Number	:	216-703-0034
Fax Number	:

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

Provider Enumeration Date	:	06/27/2017
Last Update Date	:	09/18/2024

Similar Medicare Providers

1013872449 — BRITTANY OCTAVIA ANITON
Practice Location Address:

3214 E 140TH ST
CLEVELAND, OH
44120-3233

Practice Phone: 216-334-8095
Practice Fax:

1568327922 — MELVINA WILLIAMS
Practice Location Address:

3233 E 123RD ST
CLEVELAND, OH
44120-3849

Practice Phone: 216-200-0244
Practice Fax:

1679260640 — DEREK CHRISTOPHER
Practice Location Address:

3233 E 123RD ST
CLEVELAND, OH
44120-3849

Practice Phone: 614-589-2664
Practice Fax:

1023831179 — ALLWAYZ TRANZPORTATION
Practice Location Address:

3233 E 123RD ST
CLEVELAND, OH
44120-3849

Practice Phone: 614-589-2664
Practice Fax:

1154864478 — LAKEETA S HIGDON LPN
Practice Location Address:

989 NATHANIEL RD
CLEVELAND, OH
44110-3233

Practice Phone: 216-413-8496
Practice Fax:

1790272649 — KENDRA B ORR
Practice Location Address:

4119 CLYBOURNE AVE
CLEVELAND, OH
44109-3233

Practice Phone: 216-754-9604
Practice Fax:

Directions to “ EBONY GIBSON ” 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 © 2007-2025 (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.