MEDICARE: OUR PLACE OUR HOME INC

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1104793561
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OUR PLACE OUR HOME INC

Provider Business Mailing Address
First Line	:	329 FINDLEY AVE
Second Line	:
City	:	WELLINGTON
State	:	OH
Zip	:	44090-9318
Country	:	US
Telephone Number	:	216-200-6661
Fax Number	:

Provider Business Practice Location Address
First Line	:	13814 LIBERTY AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44135-1542
Country	:	US
Telephone Number	:	216-200-6661
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MS. MERSAIDIES A FOSTER
Credential	:
Telephone Number	:	216-200-6661

Provider Enumeration Date	:	10/21/2025
Last Update Date	:	10/21/2025

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Directions to “OUR PLACE OUR HOME INC ” Practice Location

Language	Start Address	Practice Location

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