MEDICARE: SHANIQUIE GREER

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	TF169802	OH
2	376K00000X	Nurse's Aide	602373631121	OH
3	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1679016091
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANIQUIE GREER

Provider Business Mailing Address
First Line	:	15009 LAWNDALE AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44128-3030
Country	:	US
Telephone Number	:	440-370-0826
Fax Number	:

Provider Business Practice Location Address
First Line	:	15009 LAWNDALE AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44128-3030
Country	:	US
Telephone Number	:	440-370-0826
Fax Number	:

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

Provider Enumeration Date	:	12/03/2016
Last Update Date	:	10/10/2024

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Directions to “ SHANIQUIE GREER ” Practice Location

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