MEDICARE: MS. LAKEISHA MIRANDA CHAPPELL-HACKETT CNA, CMA

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	372600000X	Adult Companion	401831090216	OH
2	373H00000X	Day Training/Habilitation Specialist	401831090216	OH
3	3747A0650X	Attendant Care Provider	401831090216	OH
4	3747P1801X	Personal Care Attendant	401831090216	OH
5	374U00000X	Home Health Aide	401831090216	OH
6	376J00000X	Homemaker	401831090216	OH
7	376K00000X	Nurse's Aide	401831090216	OH
8	405300000X	Prevention Professional	401831090216	OH
9	374700000X	Technician	401831090216	OH

General Provider Information

NPI Number	:	1891657425
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LAKEISHA MIRANDA CHAPPELL-HACKETT CNA, CMA

Provider Business Mailing Address
First Line	:	13605 COATH AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44120-4631
Country	:	US
Telephone Number	:	216-857-8266
Fax Number	:

Provider Business Practice Location Address
First Line	:	13605 COATH AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44120-4631
Country	:	US
Telephone Number	:	216-857-8266
Fax Number	:

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

Provider Enumeration Date	:	12/02/2025
Last Update Date	:	12/02/2025

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