MEDICARE: MAJENNIE CREATIONS LLC

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1881536563
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAJENNIE CREATIONS LLC

Provider Business Mailing Address
First Line	:	11501 MT. CARMEL ROAD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44104
Country	:	US
Telephone Number	:	216-857-2249
Fax Number	:

Provider Business Practice Location Address
First Line	:	11501 MT. CARMEL ROAD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44104
Country	:	US
Telephone Number	:	216-857-2249
Fax Number	:

Authorized Official
Title or Position	:	OWNER LICENSED SOCIAL WORKER
Name	:	MRS. TEKISHA DIRRELLE WIMBUSH
Credential	:	M.S.S.W. L.S.W.
Telephone Number	:	216-857-2249

Provider Enumeration Date	:	04/09/2026
Last Update Date	:	04/09/2026

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Directions to “MAJENNIE CREATIONS LLC ” Practice Location

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