MEDICARE: ANTOINETTE MARIE HENDERSON RN

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	163W00000X	Registered Nurse	RN350533	OH

General Provider Information

NPI Number	:	1427320167
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTOINETTE MARIE HENDERSON RN

Provider Business Mailing Address
First Line	:	1509 MAPLE RD
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44121-1729
Country	:	US
Telephone Number	:	216-315-5484
Fax Number	:

Provider Business Practice Location Address
First Line	:	1509 MAPLE RD
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44121-1729
Country	:	US
Telephone Number	:	216-315-5484
Fax Number	:

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

Provider Enumeration Date	:	01/26/2012
Last Update Date	:	01/26/2012

Similar Medicare Providers

1992118954 — MISS TRACI SHAWNICE CAMPBELL
Practice Location Address:

9415 GIBSON AVE
CLEVELAND, OH
44105-1729

Practice Phone: 216-297-5786
Practice Fax:

1588106470 — DIVINE CONNECTIONS HOME CARE AGENCY
Practice Location Address:

1729 S CLEVELAND ST
PHILADELPHIA, PA
19145-2106

Practice Phone: 302-437-6622
Practice Fax:

1578170593 — ROSE OF SHARON HOME HEALTHCARE COMPANY
Practice Location Address:

321 CLAYMORE BLVD
CLEVELAND, OH
44143-1729

Practice Phone: 216-773-3888
Practice Fax:

1386314854 — MS. TISHA M FRANKLIN OTR/L
Practice Location Address:

410 E 152ND ST
CLEVELAND, OH
44110-1729

Practice Phone: 216-838-0850
Practice Fax:

1023959426 — ALLISON LEIGH PISCIOTTA
Practice Location Address:

4120 N CLEVELAND AVE
KANSAS CITY, MO
64117-1729

Practice Phone: 816-838-2799
Practice Fax:

1730237041 — MS. NADINE ELIZABETH SACHS LCSW
Practice Location Address:

3621 N OLD BUFFALO GROVE RD
ARLINGTON HEIGHTS, IL
60004-1729

Practice Phone: 847-947-7600
Practice Fax: 847-926-9936

Directions to “ ANTOINETTE MARIE HENDERSON RN” 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.