MEDICARE: ERIN SWAILS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	343900000X	Non-emergency Medical Transport (VAN)
2	376J00000X	Homemaker
3	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013630714
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN SWAILS

Provider Business Mailing Address
First Line	:	1741 E 238TH ST
Second Line	:
City	:	EUCLID
State	:	OH
Zip	:	44117-1958
Country	:	US
Telephone Number	:	440-554-5793
Fax Number	:

Provider Business Practice Location Address
First Line	:	1741 E 238TH ST
Second Line	:
City	:	EUCLID
State	:	OH
Zip	:	44117-1958
Country	:	US
Telephone Number	:	440-554-5793
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/19/2022
Last Update Date	:	09/19/2022

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Directions to “ ERIN SWAILS ” Practice Location

Language	Start Address	Practice Location

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