Healthcare Provider Details

I. General information

NPI: 1205584919
Provider Name (Legal Business Name): SILVER CONNECTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2022
Last Update Date: 03/11/2022
Certification Date: 03/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15825 LAKE SHORE BLVD
CLEVELAND OH
44110-1052
US

IV. Provider business mailing address

18405 DEFOREST AVE
CLEVELAND OH
44122-6830
US

V. Phone/Fax

Practice location:
  • Phone: 216-376-0937
  • Fax:
Mailing address:
  • Phone: 216-376-0937
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: VERONICA MCGHEE
Title or Position: CEO
Credential:
Phone: 216-376-0937