MEDICARE: CLEVELAND HOME CARE SERVICES 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	0000000013	TN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	702010661	OTHER	TN	CARITEN MEDICARE HMO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4114888	OTHER	TN	BLUE CARE/TENNCARE SELECT
2	4114888	OTHER	TN	BLUE CROSS BLUE SHIELD
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740250612
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLEVELAND HOME CARE SERVICES LLC

Provider Business Mailing Address
First Line	:	2440 OAKLAND DR NW
Second Line	:
City	:	CLEVELAND
State	:	TN
Zip	:	37311-1346
Country	:	US
Telephone Number	:	423-559-6092
Fax Number	:	423-559-6093

Provider Business Practice Location Address
First Line	:	2440 OAKLAND DR NW
Second Line	:
City	:	CLEVELAND
State	:	TN
Zip	:	37311-1346
Country	:	US
Telephone Number	:	423-559-6092
Fax Number	:	423-559-6093

Authorized Official
Title or Position	:	SECRETARY
Name	:	AMBER L TUELLER
Credential	:
Telephone Number	:	208-207-2726

Provider Enumeration Date	:	01/24/2006
Last Update Date	:	10/24/2025

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Directions to “CLEVELAND HOME CARE SERVICES LLC ” Practice Location

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