Healthcare Provider Details

I. General information

NPI: 1245827252
Provider Name (Legal Business Name): NURSEMEDIC HOME CARE SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/23/2020
Last Update Date: 11/18/2021
Certification Date: 11/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14100 CEDAR RD STE 270
CLEVELAND OH
44121-3235
US

IV. Provider business mailing address

14100 CEDAR RD STE 270
CLEVELAND OH
44121-3235
US

V. Phone/Fax

Practice location:
  • Phone: 216-800-2487
  • Fax:
Mailing address:
  • Phone: 216-800-2487
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: WAKEELAH I SHROPSHIRE
Title or Position: OWNER
Credential: LPN
Phone: 216-800-2487