MEDICARE: JAMIA STUBBS

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	3747P1801X	Personal Care Attendant
2	376J00000X	Homemaker
3	385H00000X	Respite Care

General Provider Information

NPI Number	:	1538922083
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMIA STUBBS

Provider Business Mailing Address
First Line	:	3406 E 142ND ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44120-4011
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3406 E 142ND ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44120-4011
Country	:	US
Telephone Number	:	216-276-8534
Fax Number	:

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

Provider Enumeration Date	:	02/06/2024
Last Update Date	:	02/06/2024

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Directions to “ JAMIA STUBBS ” Practice Location

Language	Start Address	Practice Location

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