MEDICARE: SIMPLE TASK

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	:	1841174695
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SIMPLE TASK

Provider Business Mailing Address
First Line	:	4422 SEXTON RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44105-6005
Country	:	US
Telephone Number	:	216-609-7560
Fax Number	:

Provider Business Practice Location Address
First Line	:	4422 SEXTON RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44105-6005
Country	:	US
Telephone Number	:
Fax Number	:

Authorized Official
Title or Position	:	MEMBER
Name	:	MR. DARNELL GRAHAM
Credential	:
Telephone Number	:	216-609-7560

Provider Enumeration Date	:	08/04/2025
Last Update Date	:	08/04/2025

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Directions to “SIMPLE TASK ” Practice Location

Language	Start Address	Practice Location

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