MEDICARE: UNDER HIS WINGS AND IN HIS HANDS

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639762438
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNDER HIS WINGS AND IN HIS HANDS

Provider Business Mailing Address
First Line	:	1738 ROSEDALE AVE
Second Line	:
City	:	EAST CLEVELAND
State	:	OH
Zip	:	44112-2043
Country	:	US
Telephone Number	:	216-544-4282
Fax Number	:	216-320-0905

Provider Business Practice Location Address
First Line	:	1738 ROSEDALE AVE
Second Line	:
City	:	EAST CLEVELAND
State	:	OH
Zip	:	44112-2043
Country	:	US
Telephone Number	:	216-544-4282
Fax Number	:	216-320-0905

Authorized Official
Title or Position	:	CEO
Name	:	TONYA R STEGER
Credential	:	STNA
Telephone Number	:	216-544-4282

Provider Enumeration Date	:	02/12/2021
Last Update Date	:	02/12/2021

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Directions to “UNDER HIS WINGS AND IN HIS HANDS ” Practice Location

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