Healthcare Provider Details

I. General information

NPI: 1356268817
Provider Name (Legal Business Name): MED CARE FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2026
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6975 W 130TH ST
PARMA HEIGHTS OH
44130-7821
US

IV. Provider business mailing address

6975 W 130TH ST
PARMA HEIGHTS OH
44130-7821
US

V. Phone/Fax

Practice location:
  • Phone: 440-888-7487
  • Fax: 440-345-5151
Mailing address:
  • Phone: 440-888-7487
  • Fax: 440-345-5151

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: JESSICA LI
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 330-987-6098