MEDICARE: OCTAVIA GILES

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	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1558226860
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OCTAVIA GILES

Provider Business Mailing Address
First Line	:	2460 E 124TH ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44120-1003
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2349 COVENTRY RD
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44118-3548
Country	:	US
Telephone Number	:	216-229-4902
Fax Number	:

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

Provider Enumeration Date	:	12/18/2025
Last Update Date	:	12/18/2025

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Directions to “ OCTAVIA GILES ” Practice Location

Language	Start Address	Practice Location

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