MEDICARE: MARIA TOLLIVER

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

General Provider Information

NPI Number	:	1427914126
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA TOLLIVER

Provider Business Mailing Address
First Line	:	1847 WINCHESTER RD
Second Line	:
City	:	LYNDHURST
State	:	OH
Zip	:	44124-3710
Country	:	US
Telephone Number	:	216-502-1036
Fax Number	:

Provider Business Practice Location Address
First Line	:	3956 LEE RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44128-1462
Country	:	US
Telephone Number	:	216-855-0215
Fax Number	:

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

Provider Enumeration Date	:	12/27/2025
Last Update Date	:	12/27/2025

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Directions to “ MARIA TOLLIVER ” Practice Location

Language	Start Address	Practice Location

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