MRS. SHALANDA M ODOM-MACK
NPI 1336351634
Nurse's Aide in Cleveland, OH

Active since May 07, 2007
11305 KEPPLER CT, CLEVELAND, OH 44105(216) 801-2700(216) 801-2700 Get Directions Write a Review

NPPES record last updated: May 23, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Shalanda M Odom-mack NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SHALANDA M ODOM-MACK (NPI 1336351634) is an individual nurse's aide in Cleveland, Ohio, licensed in Ohio (376939251197) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1336351634
Entity TypeIndividualFemale
Primary Taxonomy376K00000X
Provider Legal NameMRS. SHALANDA M ODOM-MACK
Location Address11305 KEPPLER CTCleveland, OH 44105-6242
Mailing Address11305 Keppler CtCleveland, OH 44105-6242 · (216) 331-1321 · Fax (216) 331-1321
Fax(216) 801-2700
Sole ProprietorYes
Enumeration DateMay 7, 2007
Last NPPES UpdateMay 23, 2014
NPI 1336351634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse's AideNursing Service Related Providers
Taxonomy Code376K00000X
License Licensed in OH · 376939251197
Definition
(1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work.
11305 KEPPLER CT, Cleveland, OH 44105

Other Names 1

Former Name (1)Ms. Shalanda M Odom

Other Identifiers 1

Medicaid2365435OH

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Licensed Practical Nurse
11305 KEPPLER CT
CLEVELAND, OH 44105

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shalanda Odom-mack's NPI number?

The NPI number for Shalanda Odom-mack is 1336351634. It was assigned to this individual provider in the NPPES registry on May 7, 2007. The provider is also known as Ms. Shalanda M Odom.

Where is Shalanda Odom-mack located?

Shalanda Odom-mack practices at 11305 Keppler Ct, Cleveland, OH 44105. The listed phone number is (216) 801-2700.

What is Shalanda Odom-mack's specialty?

The primary specialty registered for this NPI is Nurse's Aide with taxonomy code 376K00000X.

When was this NPI record last updated?

The NPPES record for Shalanda Odom-mack was last updated on May 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.