MEDICARE: CLARENCE KAKIA

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	343900000X	Non-emergency Medical Transport (VAN)	VD559748	OH
2	3747P1801X	Personal Care Attendant	VD559748	OH
3	376J00000X	Homemaker	VD559748	OH

General Provider Information

NPI Number	:	1821946724
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLARENCE KAKIA

Provider Business Mailing Address
First Line	:	9699 IDLEWOOD DR
Second Line	:
City	:	BROOKLYN
State	:	OH
Zip	:	44144-3122
Country	:	US
Telephone Number	:	216-259-5268
Fax Number	:

Provider Business Practice Location Address
First Line	:	9699 IDLEWOOD DR
Second Line	:
City	:	BROOKLYN
State	:	OH
Zip	:	44144-3122
Country	:	US
Telephone Number	:	216-259-5268
Fax Number	:

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

Provider Enumeration Date	:	03/18/2026
Last Update Date	:	03/18/2026

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Directions to “ CLARENCE KAKIA ” Practice Location

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