Provider Demographics
NPI:1154979532
Name:RELEFORD, JAIESHA (CNA)
Entity type:Individual
Prefix:
First Name:JAIESHA
Middle Name:
Last Name:RELEFORD
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:JAIESHA
Other - Middle Name:
Other - Last Name:SCOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNA
Mailing Address - Street 1:2403 E 49TH ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64130
Mailing Address - Country:US
Mailing Address - Phone:816-377-4591
Mailing Address - Fax:
Practice Address - Street 1:2403 E 49TH ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64130
Practice Address - Country:US
Practice Address - Phone:816-377-4591
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-29
Last Update Date:2019-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X, 343900000X, 374U00000X
MO82660A376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty
No251E00000XAgenciesHome Health
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No374U00000XNursing Service Related ProvidersHome Health Aide