MEDICARE: TIA BERNEE KLINE

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	171M00000X	Case Manager/Care Coordinator
2	376J00000X	Homemaker

General Provider Information

NPI Number	:	1043825623
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIA BERNEE KLINE

Provider Business Mailing Address
First Line	:	23112 ANGELA DR
Second Line	:
City	:	WARRENSVILLE HEIGHTS
State	:	OH
Zip	:	44128-5104
Country	:	US
Telephone Number	:	216-798-1601
Fax Number	:

Provider Business Practice Location Address
First Line	:	23112 ANGELA DR
Second Line	:
City	:	WARRENSVILLE HEIGHTS
State	:	OH
Zip	:	44128-5104
Country	:	US
Telephone Number	:	216-798-1601
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/10/2020
Last Update Date	:	03/26/2026

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Directions to “ TIA BERNEE KLINE ” Practice Location

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