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NPI Code Detail

MEDICARE: ASHIA GAINES

MEDICARE: ASHIA GAINES
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
1164W00000XLicensed Practical NurseLPN.189482OH

General Provider Information

NPI Number : 1265376347
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHIA GAINES
Provider Business Mailing Address
First Line : 7232 JUSTIN WAY
Second Line :
City : MENTOR
State : OH
Zip : 44060-4881
Country : US
Telephone Number : 440-578-8200
Fax Number :
Provider Business Practice Location Address
First Line : 38876 MENTOR AVE
Second Line :
City : WILLOUGHBY
State : OH
Zip : 44094-7931
Country : US
Telephone Number : 440-578-8200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2026
Last Update Date : 04/17/2026

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Directions to “ ASHIA GAINES ” Practice Location

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