MEDICARE: MS. VELVET C THORPE

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	376K00000X	Nurse's Aide	400159780902	OH

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	:	1649743378
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. VELVET C THORPE

Provider Business Mailing Address
First Line	:	5025 E 110TH ST
Second Line	:
City	:	GARFIELD HEIGHTS
State	:	OH
Zip	:	44125-2779
Country	:	US
Telephone Number	:	216-905-2621
Fax Number	:

Provider Business Practice Location Address
First Line	:	5025 E 110TH ST
Second Line	:
City	:	GARFIELD HEIGHTS
State	:	OH
Zip	:	44125-2779
Country	:	US
Telephone Number	:	216-905-2621
Fax Number	:

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

Provider Enumeration Date	:	01/04/2019
Last Update Date	:	01/04/2019

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