MEDICARE: MAUREEN SANDERS

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	374U00000X	Home Health Aide	OH
2	3747P1801X	Personal Care Attendant	OH
3	172V00000X	Community Health Worker	OH

General Provider Information

NPI Number	:	1225811987
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAUREEN SANDERS

Provider Business Mailing Address
First Line	:	893 S GREEN RD
Second Line	:
City	:	SOUTH EUCLID
State	:	OH
Zip	:	44121-3477
Country	:	US
Telephone Number	:	440-452-1845
Fax Number	:

Provider Business Practice Location Address
First Line	:	5400 LANCASTER DR BLDG A
Second Line	:
City	:	BROOKLYN HTS
State	:	OH
Zip	:	44131-1832
Country	:	US
Telephone Number	:	440-452-1845
Fax Number	:

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

Provider Enumeration Date	:	08/16/2023
Last Update Date	:	04/16/2024

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Directions to “ MAUREEN SANDERS ” Practice Location

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