Healthcare Provider Details

I. General information

NPI: 1114731072
Provider Name (Legal Business Name): EXQUISITE CARE & SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2025
Last Update Date: 02/03/2025
Certification Date: 01/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12200 FAIRHILL RD STE 348
CLEVELAND OH
44120-1058
US

IV. Provider business mailing address

12200 FAIRHILL RD STE 348
CLEVELAND OH
44120-1058
US

V. Phone/Fax

Practice location:
  • Phone: 216-355-5592
  • Fax:
Mailing address:
  • Phone: 216-355-5592
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. TIFFANY LA'SHAWN AMIE
Title or Position: CEO
Credential: LPN
Phone: 216-355-5592