Healthcare Provider Details
I. General information
NPI: 1194475467
Provider Name (Legal Business Name): MAJOR CARE MINISTRIES INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/28/2022
Last Update Date: 03/28/2022
Certification Date: 03/28/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
18900 LIBBY RD
MAPLE HEIGHTS OH
44137-2214
US
IV. Provider business mailing address
13202 CRANWOOD PARK BLVD
GARFIELD HTS OH
44125-1817
US
V. Phone/Fax
- Phone: 216-626-5577
- Fax: 216-250-8300
- Phone: 216-626-5577
- Fax: 216-250-8300
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 302F00000X |
| Taxonomy | Exclusive Provider Organization |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
RENEE
MAJOR
Title or Position: CEO
Credential: CDCA
Phone: 216-626-5577