TENISHA GLASS NPI 1053776575

NPI Information

  • NPI: 1053776575
  • Provider Name: TENISHA GLASS
  • Classification: Custodial Care Facility - 311ZA0620X
  • Specialization: Adult Care Home
  • Entity Type: Organization
  • Address: 20371 LORAIN RD APT E5
    FAIRVIEW PARK, OH
    ZIP 44126
  • Phone: (216) 551-1822

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NPI Details

TENISHA GLASS is an adult care home custodial care facility in Fairview Park, OH. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. TENISHA GLASS NPI is 1053776575. The provider is registered as an organization entity type.

The provider's business location address is:

20371 LORAIN RD APT E5
FAIRVIEW PARK, OH
ZIP 44126-455
Phone: (216) 551-1822

The provider's authorized official is Tenisha Glass .
The authorized official title is Sole and has the following contact phone number (216) 551-1822.

The enumeration date for this NPI number is 12/28/2015 and was last updated on 12/28/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1311ZA0620XCustodial Care FacilityAdult Care Home400078860202OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13062939MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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