MEDICARE: DAVINA GLORITA BOLDEN

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	:	1669022844
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVINA GLORITA BOLDEN

Provider Business Mailing Address
First Line	:	6901 DETROIT AVE APT 3
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44102-3055
Country	:	US
Telephone Number	:	216-450-8548
Fax Number	:

Provider Business Practice Location Address
First Line	:	6901 DETROIT AVE APT 3
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44102-3055
Country	:	US
Telephone Number	:	216-450-8548
Fax Number	:

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

Provider Enumeration Date	:	09/18/2019
Last Update Date	:	09/18/2019

Similar Medicare Providers

1114885464 — DIYA SHABAZZ
Practice Location Address:

15277 TRISKETT RD APT 2
CLEVELAND, OH
44111-3055

Practice Phone: 216-264-8143
Practice Fax:

1770741738 — FRANKLIN HOME HEALTH CARE, LLC
Practice Location Address:

3055 CLEVELAND AVE STE 100
COLUMBUS, OH
43224-3602

Practice Phone: 614-430-5986
Practice Fax:

1972139954 — JEREMY SCOTT MARX MD
Practice Location Address:

CLEVELAND CLINIC 9500 EUCLID AVENUE/JJ24
CLEVELAND, OH
44195-3055

Practice Phone: 216-444-2200
Practice Fax:

1225616089 — COMMUNITY ALLIANCE HOMECARE LLC
Practice Location Address:

3055 CLEVELAND AVE # L220
COLUMBUS, OH
43224-3602

Practice Phone: 614-707-8745
Practice Fax:

1366142481 — STATEWIDE HOMEHEALTH LLC
Practice Location Address:

3055 CLEVELAND AVE STE 110
COLUMBUS, OH
43224-3602

Practice Phone: 614-371-3099
Practice Fax:

1033980206 — JENNIFER NICOLE FULTON
Practice Location Address:

3055 BECKET RD
CLEVELAND, OH
44120-2709

Practice Phone: 216-235-0372
Practice Fax:

Directions to “ DAVINA GLORITA BOLDEN ” 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.