MEDICARE: CATRINA GASTON

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	253Z00000X	In Home Supportive Care Agency
2	3747P1801X	Personal Care Attendant
3	376J00000X	Homemaker
4	376K00000X	Nurse's Aide
5	251X00000X	Supports Brokerage Agency

General Provider Information

NPI Number	:	1417635442
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATRINA GASTON

Provider Business Mailing Address
First Line	:	17308 WALDEN AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44128-1610
Country	:	US
Telephone Number	:	216-543-0859
Fax Number	:

Provider Business Practice Location Address
First Line	:	17308 WALDEN AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44128-1610
Country	:	US
Telephone Number	:	216-543-0859
Fax Number	:

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

Provider Enumeration Date	:	07/10/2023
Last Update Date	:	07/10/2023

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Directions to “ CATRINA GASTON ” Practice Location

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