Healthcare Provider Details

I. General information

NPI: 1346102241
Provider Name (Legal Business Name): ROLLING M&T ENTERPRISES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2025
Last Update Date: 11/29/2025
Certification Date: 11/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16716 GROVEWOOD AVE
CLEVELAND OH
44110-1507
US

IV. Provider business mailing address

16716 GROVEWOOD AVE
CLEVELAND OH
44110-1507
US

V. Phone/Fax

Practice location:
  • Phone: 440-601-5253
  • Fax:
Mailing address:
  • Phone: 440-601-5253
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code311Z00000X
TaxonomyCustodial Care Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: TANEKA S MCFARLAND
Title or Position: OWNER
Credential:
Phone: 440-601-5253