MEDICARE: LARRY HOLMES

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	171W00000X	Contractor

General Provider Information

NPI Number	:	1205593142
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LARRY HOLMES

Provider Business Mailing Address
First Line	:	3203 NORTH AVE
Second Line	:
City	:	PARMA
State	:	OH
Zip	:	44134-1346
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3203 NORTH AVE
Second Line	:
City	:	PARMA
State	:	OH
Zip	:	44134-1346
Country	:	US
Telephone Number	:	216-526-5979
Fax Number	:

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

Provider Enumeration Date	:	11/28/2021
Last Update Date	:	11/29/2021

Similar Medicare Providers

1689516015 — KRISTINA RUSSELL
Practice Location Address:

1440 ROCKSIDE RD STE 216
PARMA, OH
44134-2749

Practice Phone: 216-777-6062
Practice Fax:

1811487523 — MRS. JORDIN A MARIA MSW, LISW
Practice Location Address:

3807 REDFERN RD
PARMA, OH
44134-3355

Practice Phone: 330-415-5158
Practice Fax:

1750224069 — ASHLEIGH SHARRAE HUNTER
Practice Location Address:

1440 ROCKSIDE RD STE 216
PARMA, OH
44134-2749

Practice Phone: 216-777-6062
Practice Fax:

1871596288 — PROGRESSIVE PARMA CARE CENTER LLC
Practice Location Address:

5553 BROADVIEW RD
PARMA, OH
44134-1604

Practice Phone: 216-661-6800
Practice Fax: 216-739-3789

1174520712 — MRS. AMANDA JOY VANDERVORT MPT
Practice Location Address:

5520 BROADVIEW RD FRNT
PARMA, OH
44134-1605

Practice Phone: 216-749-6650
Practice Fax: 216-749-1655

1013909894 — DR. GARY J CRAPANZANO O.D.
Practice Location Address:

7630 BROADVIEW RD
PARMA, OH
44134-6745

Practice Phone: 216-642-5500
Practice Fax: 216-642-9829

Directions to “ LARRY HOLMES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.