Provider Demographics
NPI:1083588529
Name:PEART, ROLLESHIA (CNA)
Entity type:Individual
Prefix:
First Name:ROLLESHIA
Middle Name:
Last Name:PEART
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1012 RUSHLEIGH RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44121-1415
Mailing Address - Country:US
Mailing Address - Phone:216-502-9292
Mailing Address - Fax:
Practice Address - Street 1:1012 RUSHLEIGH RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND HTS
Practice Address - State:OH
Practice Address - Zip Code:44121-1415
Practice Address - Country:US
Practice Address - Phone:216-502-9292
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-29
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH602520820722376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Single Specialty