Healthcare Provider Details

I. General information

NPI: 1104060938
Provider Name (Legal Business Name): MED-CERT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2009
Last Update Date: 11/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5416 NORTHFIELD RD
MAPLE HEIGHTS OH
44137-3113
US

IV. Provider business mailing address

5416 NORTHFIELD RD
MAPLE HEIGHTS OH
44137-3113
US

V. Phone/Fax

Practice location:
  • Phone: 440-786-2378
  • Fax:
Mailing address:
  • Phone: 440-786-2378
  • Fax: 440-786-7327

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 Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code333300000X
TaxonomyEmergency Response System Companies
License Number
License Number State

VIII. Authorized Official

Name: MS. LOREA C MYERS
Title or Position: CEO
Credential: RN, BSN
Phone: 440-786-2378