MEDICARE: 1ST STOP HEALTHCARE SOLUTIONS

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	:	1548502941
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	1ST STOP HEALTHCARE SOLUTIONS

Provider Business Mailing Address
First Line	:	4125 LEE RD
Second Line	:	SUITE B
City	:	CLEVELAND
State	:	OH
Zip	:	44128-2143
Country	:	US
Telephone Number	:	216-372-9126
Fax Number	:

Provider Business Practice Location Address
First Line	:	4125 LEE RD
Second Line	:	SUITE B
City	:	CLEVELAND
State	:	OH
Zip	:	44128-2143
Country	:	US
Telephone Number	:	216-372-9126
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MS. KERRENA NICOLE GILMORE
Credential	:	RN
Telephone Number	:	216-372-9126

Provider Enumeration Date	:	03/23/2013
Last Update Date	:	03/23/2013

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Directions to “1ST STOP HEALTHCARE SOLUTIONS ” Practice Location

Language	Start Address	Practice Location

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