MEDICARE: CHARNITA HAIRSTON

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	171M00000X	Case Manager/Care Coordinator		OH
2	374700000X	Technician

General Provider Information

NPI Number	:	1417649203
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARNITA HAIRSTON

Provider Business Mailing Address
First Line	:	3853 SUMMIT PARK RD
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44121-1866
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3655 BLANCHE AVE
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44118-2211
Country	:	US
Telephone Number	:	216-527-4528
Fax Number	:

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

Provider Enumeration Date	:	05/22/2023
Last Update Date	:	03/09/2026

Similar Medicare Providers

1063704872 — MS. RHONDA L DAVIS-LOVEJOY
Practice Location Address:

3607 BLANCHE AVE
CLEVELAND HEIGHTS, OH
44118-2211

Practice Phone: 216-233-7178
Practice Fax: 216-451-1765

1326652793 — MS. LATONYA COKER
Practice Location Address:

3639 BLANCHE AVE
CLEVELAND HEIGHTS, OH
44118-2211

Practice Phone: 216-773-1436
Practice Fax:

1194271577 — CHAMPION THERAPY SERVICES
Practice Location Address:

603 N C AVE
CLEVELAND, OK
74020-2211

Practice Phone: 918-358-8040
Practice Fax: 918-358-8045

1750839049 — JOYCE BURNETT-LPN
Practice Location Address:

17021 HARVARD AVE
CLEVELAND, OH
44128-2211

Practice Phone: 216-278-5955
Practice Fax: 216-400-7165

1083162374 — JOYCE BURNETT LPN
Practice Location Address:

17021 HARVARD AVE
CLEVELAND, OH
44128-2211

Practice Phone: 216-278-5955
Practice Fax: 216-400-7165

1295274447 — JOYCE BURNETT
Practice Location Address:

17021 HARVARD AVE
CLEVELAND, OH
44128-2211

Practice Phone: 216-278-5955
Practice Fax:

Directions to “ CHARNITA HAIRSTON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.