MEDICARE: ELLAVITA MECHELL NIMONS

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	:	1750950689
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELLAVITA MECHELL NIMONS

Provider Business Mailing Address
First Line	:	12904 KADEL AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44135-4744
Country	:	US
Telephone Number	:	216-860-2229
Fax Number	:

Provider Business Practice Location Address
First Line	:	12904 KADEL AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44135-4744
Country	:	US
Telephone Number	:	216-860-2229
Fax Number	:

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

Provider Enumeration Date	:	06/24/2021
Last Update Date	:	06/24/2021

Similar Medicare Providers

1205587805 — KELLY SYMONE STOCKDALE
Practice Location Address:

1884 FARMINGTON RD
EAST CLEVELAND, OH
44112-4744

Practice Phone: 216-972-7784
Practice Fax:

1477392710 — MICHAEL EARL GAMBLE
Practice Location Address:

3212 W 97TH ST
CLEVELAND, OH
44102-4744

Practice Phone: 216-356-9186
Practice Fax:

1669293031 — SHARMAE LAVAUGHN SMITH
Practice Location Address:

3212 W 97TH ST
CLEVELAND, OH
44102-4744

Practice Phone: 216-296-1634
Practice Fax:

1417760679 — LAKISHA JEANINE HASAN
Practice Location Address:

1838 FARMINGTON RD
EAST CLEVELAND, OH
44112-4744

Practice Phone: 216-356-1441
Practice Fax:

1235082611 — CHI ANNE WESTMORELAND
Practice Location Address:

18012 PARKMOUNT AVE
CLEVELAND, OH
44135-4128

Practice Phone: 216-410-2929
Practice Fax:

1891648846 — AJA PRINCIPLED LIVING GOOD COMPANY
Practice Location Address:

4213 ROCKY RIVER DR
CLEVELAND, OH
44135-1109

Practice Phone: 740-669-6466
Practice Fax:

Directions to “ ELLAVITA MECHELL NIMONS ” 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.