MEDICARE: TWOGIFTEDHANDS

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	311ZA0620X	Adult Care Home Facility

General Provider Information

NPI Number	:	1063394625
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TWOGIFTEDHANDS

Provider Business Mailing Address
First Line	:	9420 CASSIUS AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44105-4104
Country	:	US
Telephone Number	:	216-926-8805
Fax Number	:	216-926-8805

Provider Business Practice Location Address
First Line	:	9420 CASSIUS AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44105-4104
Country	:	US
Telephone Number	:	216-926-8805
Fax Number	:	216-926-8805

Authorized Official
Title or Position	:	DOR
Name	:	MR. RODGER LEE MARSHALL
Credential	:
Telephone Number	:	216-926-8805

Provider Enumeration Date	:	07/24/2025
Last Update Date	:	07/24/2025

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Directions to “TWOGIFTEDHANDS ” Practice Location

Language	Start Address	Practice Location

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