MEDICARE: MARCELLES BARNES-GILMORE

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

General Provider Information

NPI Number	:	1174304406
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARCELLES BARNES-GILMORE

Provider Business Mailing Address
First Line	:	1806 CURRY LN
Second Line	:
City	:	TWINSBURG
State	:	OH
Zip	:	44087-4308
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2542 S ARLINGTON RD
Second Line	:
City	:	COVENTRY TOWNSHIP
State	:	OH
Zip	:	44319-2065
Country	:	US
Telephone Number	:	216-308-7224
Fax Number	:

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

Provider Enumeration Date	:	10/12/2023
Last Update Date	:	10/12/2023

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