MEDICARE: TRUSTFUL HANDS HOMECARE 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1629895396
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRUSTFUL HANDS HOMECARE LLC

Provider Business Mailing Address
First Line	:	2000 LEE RD STE 25
Second Line	:
City	:	CLEVELAND HTS
State	:	OH
Zip	:	44118-2559
Country	:	US
Telephone Number	:	216-795-5191
Fax Number	:

Provider Business Practice Location Address
First Line	:	2000 LEE RD STE 25
Second Line	:
City	:	CLEVELAND HTS
State	:	OH
Zip	:	44118-2559
Country	:	US
Telephone Number	:	216-795-5191
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	CHANEL G STEWART
Credential	:
Telephone Number	:	216-972-7629

Provider Enumeration Date	:	09/24/2024
Last Update Date	:	09/24/2024

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