MEDICARE: CARING FOR HOME LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency		OH

General Provider Information

NPI Number	:	1033618863
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARING FOR HOME LLC

Provider Business Mailing Address
First Line	:	12800 SHAKER BLVD BLDG 240B
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44120-2000
Country	:	US
Telephone Number	:	216-751-0159
Fax Number	:	216-751-1502

Provider Business Practice Location Address
First Line	:	12800 SHAKER BLVD BLDG 240B
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44120-2000
Country	:	US
Telephone Number	:	216-751-0159
Fax Number	:	216-751-1502

Authorized Official
Title or Position	:	CEO
Name	:	TIERA BRYANT
Credential	:
Telephone Number	:	216-704-4498

Provider Enumeration Date	:	02/07/2018
Last Update Date	:	02/07/2018

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Directions to “CARING FOR HOME LLC ” Practice Location

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