MEDICARE: NORWILL HEALTHCARE SERVICES 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	385H00000X	Respite Care
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1245606995
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORWILL HEALTHCARE SERVICES LLC

Provider Business Mailing Address
First Line	:	3100 E 45TH ST STE 102
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44127-1094
Country	:	US
Telephone Number	:	216-441-9669
Fax Number	:	216-373-4969

Provider Business Practice Location Address
First Line	:	3100 E 45TH ST
Second Line	:	SUITE 224
City	:	CLEVELAND
State	:	OH
Zip	:	44127-1088
Country	:	US
Telephone Number	:	216-324-1338
Fax Number	:	216-373-4969

Authorized Official
Title or Position	:	OWNER
Name	:	MR. OLIETUNJA D MANN
Credential	:
Telephone Number	:	216-441-9669

Provider Enumeration Date	:	08/18/2015
Last Update Date	:	09/09/2020

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