Healthcare Provider Details

I. General information

NPI: 1649961392
Provider Name (Legal Business Name): GUIDING CARE HOME HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2023
Last Update Date: 05/15/2023
Certification Date: 05/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5500 S MARGINAL RD STE 210
CLEVELAND OH
44103-1073
US

IV. Provider business mailing address

5500 S MARGINAL RD STE 210
CLEVELAND OH
44103-1073
US

V. Phone/Fax

Practice location:
  • Phone: 216-401-4110
  • Fax:
Mailing address:
  • Phone: 216-401-4110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: DR. ROSARY KENNEDY
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 216-401-4110