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General NPI Number Information
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NPI Number | 1740250612
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Entity Type | Organization
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Legal Business Name | CLEVELAND HOME CARE SERVICES LLC
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Dates
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Enumeration Date | 01/24/2006
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 2440 OAKLAND DR NW
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City | CLEVELAND
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State | TN
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Zip | 37311-1346
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Country | US
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Telephone | 423-559-6092
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Fax | 423-559-6093
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Provider Business Mailing Address
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Address Line | 2440 OAKLAND DR NW
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City | CLEVELAND
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State | TN
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Zip | 37311-1346
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Country | US
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Telephone | 423-559-6092
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Fax | 423-559-6093
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Authorized Official
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Title or Position | SECRETARY
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Name | AMBER L TUELLER
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Credential |
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Telephone | 208-207-2726
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 0000000013
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License Number State | TN
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