MEDICARE: ASSISTANCE PLUS HOME CARE 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1043834138
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASSISTANCE PLUS HOME CARE LLC.

Provider Business Mailing Address
First Line	:	2490 LEE BLVD STE 320
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44118-1271
Country	:	US
Telephone Number	:	216-938-5225
Fax Number	:	216-938-9042

Provider Business Practice Location Address
First Line	:	2490 LEE BLVD STE 320
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44118-1271
Country	:	US
Telephone Number	:	216-938-5225
Fax Number	:	216-938-9042

Authorized Official
Title or Position	:	OWNER
Name	:	STEPHANIE BLADE
Credential	:
Telephone Number	:	216-798-2804

Provider Enumeration Date	:	06/03/2020
Last Update Date	:	10/13/2020

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