MEDICARE: ZIPPORAH WALLACE

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	172A00000X	Driver
2	372500000X	Chore Provider
3	372600000X	Adult Companion
4	376J00000X	Homemaker
5	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1790588101
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZIPPORAH WALLACE

Provider Business Mailing Address
First Line	:	11812 BUCKINGHAM AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44120-1948
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11812 BUCKINGHAM AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44120-1948
Country	:	US
Telephone Number	:	216-394-3131
Fax Number	:

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

Provider Enumeration Date	:	03/31/2025
Last Update Date	:	03/31/2025

Similar Medicare Providers

1275290397 — DAJSHA GREGORY
Practice Location Address:

11812 BUCKINGHAM AVE
CLEVELAND, OH
44120-1948

Practice Phone: 216-304-0560
Practice Fax:

1528518891 — A BETTER LIFE HOMECARE SERVICES LLC
Practice Location Address:

3584 SEVERN RD
CLEVELAND HEIGHTS, OH
44118-1948

Practice Phone: 440-497-9340
Practice Fax:

1164943429 — JADE LEWERS
Practice Location Address:

3584 SEVERN RD
CLEVELAND HEIGHTS, OH
44118-1948

Practice Phone: 216-245-2536
Practice Fax:

1295201572 — CORINE WILLIAMS RN
Practice Location Address:

800 HOOVER AVE
CLEVELAND, OH
44119-1948

Practice Phone: 216-903-4866
Practice Fax:

1528661204 — DAMARIS N MARSHALL LPN.175813.MEDS-IV
Practice Location Address:

1360 W 80TH ST APT 204
CLEVELAND, OH
44102-1948

Practice Phone: 216-387-7967
Practice Fax:

1982369609 — MICHELLE LYNN RODRIGUEZ HHA
Practice Location Address:

4168 W 49TH ST
CLEVELAND, OH
44144-1948

Practice Phone: 216-799-3633
Practice Fax:

Directions to “ ZIPPORAH WALLACE ” 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.