MEDICARE: BORA HOME CARE SOLUTIONS, 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

General Provider Information

NPI Number	:	1902408800
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BORA HOME CARE SOLUTIONS, LLC

Provider Business Mailing Address
First Line	:	PO BOX 6442
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44101-1442
Country	:	US
Telephone Number	:	216-912-7513
Fax Number	:

Provider Business Practice Location Address
First Line	:	16400 MILES AVE STE 202
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44128-2942
Country	:	US
Telephone Number	:	216-912-7513
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	CHERYL LEWIS
Credential	:
Telephone Number	:	216-912-7513

Provider Enumeration Date	:	11/15/2020
Last Update Date	:	11/15/2020

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