MEDICARE: ARTELIA R JOHNSON

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		OH

General Provider Information

NPI Number	:	1841132412
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARTELIA R JOHNSON

Provider Business Mailing Address
First Line	:	10321 OLIVET AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44108-3551
Country	:	US
Telephone Number	:	216-835-6647
Fax Number	:	216-835-6647

Provider Business Practice Location Address
First Line	:	10321 OLIVET AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44108-3551
Country	:	US
Telephone Number	:	216-835-6647
Fax Number	:	216-835-6647

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

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	04/06/2026

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Directions to “ ARTELIA R JOHNSON ” Practice Location

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