MEDICARE: MRS. HELAINA ROBIN ADAMO RN

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	163WP0808X	Psychiatric/Mental Health Registered Nurse	RN.264854	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	RN.264854	OTHER	OH	REGISTERED NURSE

General Provider Information

NPI Number	:	1811623051
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. HELAINA ROBIN ADAMO RN

Provider Business Mailing Address
First Line	:	10524 EUCLID AVE FL 13
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44106-2205
Country	:	US
Telephone Number	:	216-983-1322
Fax Number	:	216-844-5833

Provider Business Practice Location Address
First Line	:	10524 EUCLID AVE FL 13
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44106-2205
Country	:	US
Telephone Number	:	216-983-1322
Fax Number	:	216-844-5833

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

Provider Enumeration Date	:	07/29/2022
Last Update Date	:	07/29/2022

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