MEDICARE: WAITMAN FAMILY CARE, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	253Z00000X	In Home Supportive Care Agency
2	251S00000X	Community/Behavioral Health Agency
3	251J00000X	Nursing Care Agency
4	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1588476543
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WAITMAN FAMILY CARE, LLC

Provider Business Mailing Address
First Line	:	20545 CENTER RIDGE RD STE 410
Second Line	:
City	:	ROCKY RIVER
State	:	OH
Zip	:	44116-3428
Country	:	US
Telephone Number	:	440-890-2245
Fax Number	:	440-890-2245

Provider Business Practice Location Address
First Line	:	20545 CENTER RIDGE RD STE 410
Second Line	:
City	:	ROCKY RIVER
State	:	OH
Zip	:	44116-3428
Country	:	US
Telephone Number	:	440-890-2245
Fax Number	:	440-890-2245

Authorized Official
Title or Position	:	OWNER
Name	:	SARA WAITMAN
Credential	:
Telephone Number	:	810-516-2222

Provider Enumeration Date	:	01/24/2025
Last Update Date	:	02/09/2026

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