MEDICARE: SHERRY C WILSON

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1417672486
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERRY C WILSON

Provider Business Mailing Address
First Line	:	3664 E 120TH ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44105-2682
Country	:	US
Telephone Number	:	216-496-7304
Fax Number	:

Provider Business Practice Location Address
First Line	:	3664 E 120TH ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44105-2682
Country	:	US
Telephone Number	:	216-496-7304
Fax Number	:

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

Provider Enumeration Date	:	10/11/2022
Last Update Date	:	10/11/2022

Similar Medicare Providers

1649121948 — RAYMOND STEWART SR SR.
Practice Location Address:

8411 BROADWAY AVE
CLEVELAND, OH
44105-3932

Practice Phone: 216-441-0200
Practice Fax:

1609727643 — JACQUELYNNE DAWSON
Practice Location Address:

3816 E 54TH ST
CLEVELAND, OH
44105-3350

Practice Phone: 440-283-9106
Practice Fax:

1447101332 — JUDY M SCHMIDT
Practice Location Address:

3798 E 50TH ST
CLEVELAND, OH
44105-3310

Practice Phone: 216-213-5998
Practice Fax:

1588515449 — DONNA MARIE ADAMS
Practice Location Address:

12704 BEACHWOOD AVE
CLEVELAND, OH
44105-6318

Practice Phone: 216-224-9620
Practice Fax:

1023898780 — SHANNON NICHOLE JARRETT STNA
Practice Location Address:

3669 E 114TH ST
CLEVELAND, OH
44105-2537

Practice Phone: 216-622-5743
Practice Fax:

1689677809 — DR. IDYA PRAVEEN KUMAR MD
Practice Location Address:

13301 MILES AVE
CLEVELAND, OH
44105-5521

Practice Phone: 216-751-3100
Practice Fax: 216-751-2480

Directions to “ SHERRY C WILSON ” 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.