MEDICARE: 2HEARTS ONE MISSION LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1023976800
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	2HEARTS ONE MISSION LLC

Provider Business Mailing Address
First Line	:	11811 SHAKER BLVD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44120-1931
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7911 NEW YORK AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44105-5947
Country	:	US
Telephone Number	:	216-972-3239
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CIERRA THOMAS
Credential	:
Telephone Number	:	216-972-3239

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

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Directions to “2HEARTS ONE MISSION LLC ” Practice Location

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