MEDICARE: JAMEKA RENEE HARRIS

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	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1316815715
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMEKA RENEE HARRIS

Provider Business Mailing Address
First Line	:	10912 SAINT MARK AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44111-3777
Country	:	US
Telephone Number	:	216-242-8491
Fax Number	:

Provider Business Practice Location Address
First Line	:	10912 SAINT MARK AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44111-3777
Country	:	US
Telephone Number	:	216-242-8491
Fax Number	:

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

Provider Enumeration Date	:	10/27/2025
Last Update Date	:	01/27/2026

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