MEDICARE: SILVER CONNECTIONS 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	261QA0600X	Adult Day Care Clinic/Center

General Provider Information

NPI Number	:	1205584919
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SILVER CONNECTIONS LLC

Provider Business Mailing Address
First Line	:	18405 DEFOREST AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44122-6830
Country	:	US
Telephone Number	:	216-376-0937
Fax Number	:

Provider Business Practice Location Address
First Line	:	15825 LAKE SHORE BLVD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44110-1052
Country	:	US
Telephone Number	:	216-376-0937
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	VERONICA MCGHEE
Credential	:
Telephone Number	:	216-376-0937

Provider Enumeration Date	:	03/11/2022
Last Update Date	:	03/11/2022

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Directions to “SILVER CONNECTIONS LLC ” Practice Location

Language	Start Address	Practice Location

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