MEDICARE: T AN C HOME HEALTHCARE 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	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1841171188
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	T AN C HOME HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	3330 W 59TH PL
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44102-5643
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3330 W 59TH PL
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44102-5643
Country	:	US
Telephone Number	:	440-222-9357
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	TERELL BELL
Credential	:
Telephone Number	:	440-222-9357

Provider Enumeration Date	:	09/11/2025
Last Update Date	:	09/11/2025

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Directions to “T AN C HOME HEALTHCARE LLC ” Practice Location

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