Jennifer Juanita Croom
Individual provider Active NPI Home Health Aide · East Cleveland, OH
NPI 1235309717 · NPPES record last updated Mar 11, 2008
Key facts
- NPI
- 1235309717
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 1724 Taylor Rd
Apt 1
East Cleveland, OH 44112-2888 - Phone
- (216) 212-1015
- Fax
- (216) 851-2781
- NPI assigned
- Mar 11, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | OH | Yes | |
| Homemaker | 376J00000X | OH | ||
| Nurse's Aide | 376K00000X | OH |
Addresses
Primary practice location
1724 Taylor Rd
Apt 1
East Cleveland, OH 44112-2888
Mailing address
1724 Taylor Rd
Apt 1
East Cleveland, OH 44112-2888
Phone (216) 212-1015
Other names
- Jennifer Juanita Munn
Other providers in East Cleveland, OH
- Valerie T. Coats
- Yalanda Coleman
- Comfort Matters
- Sharonda Cottrell
- County Wide Transportation
- Monica Denise Cunningham
- Destiny Curlee
- David'S Challenge Incorporated
- Ronald Davis
- Laquedia D Dawson
All providers in East Cleveland, OH · Home Health Aide in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.