MEDICARE: INOVCARES CONNECTED COMPREHENSIVE HEALTHCARE

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	103T00000X	Psychologist
2	1041C0700X	Clinical Social Worker
3	163WM0102X	Maternal Newborn Registered Nurse
4	176B00000X	Midwife
5	207VM0101X	Maternal & Fetal Medicine Physician
6	207VX0201X	Gynecologic Oncology Physician
7	363LW0102X	Women's Health Nurse Practitioner
8	367A00000X	Advanced Practice Midwife
9	207V00000X	Obstetrics & Gynecology Physician

General Provider Information

NPI Number	:	1386463164
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INOVCARES CONNECTED COMPREHENSIVE HEALTHCARE

Provider Business Mailing Address
First Line	:	1517 HUNTINGTON LN
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44118-1534
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1517 HUNTINGTON LN
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44118-1534
Country	:	US
Telephone Number	:	614-749-4256
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MOHAMMED KAMARA
Credential	:
Telephone Number	:	614-749-4256

Provider Enumeration Date	:	10/08/2024
Last Update Date	:	10/08/2024

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