MEDICARE: VANESHIA HOUSTON

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	174200000X	Meals Provider
2	177F00000X	Lodging Provider
3	261QR0800X	Recovery Care Clinic/Center
4	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
5	343900000X	Non-emergency Medical Transport (VAN)
6	347C00000X	Private Vehicle
7	385H00000X	Respite Care
8	311ZA0620X	Adult Care Home Facility

General Provider Information

NPI Number	:	1205795556
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VANESHIA HOUSTON

Provider Business Mailing Address
First Line	:	323 BRIDGEPORT TRL
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44143-1466
Country	:	US
Telephone Number	:	440-622-2200
Fax Number	:

Provider Business Practice Location Address
First Line	:	1437 E 86TH ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44106-1015
Country	:	US
Telephone Number	:	440-723-0107
Fax Number	:

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

Provider Enumeration Date	:	01/21/2026
Last Update Date	:	01/21/2026

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Directions to “ VANESHIA HOUSTON ” Practice Location

Language	Start Address	Practice Location

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