MEDICARE: TREY V FORD

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	343900000X	Non-emergency Medical Transport (VAN)	UM622867	OH
2	253Z00000X	In Home Supportive Care Agency	UM622867	OH

General Provider Information

NPI Number	:	1235963448
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TREY V FORD

Provider Business Mailing Address
First Line	:	3841 GROSVENOR RD
Second Line	:
City	:	SOUTH EUCLID
State	:	OH
Zip	:	44118-2313
Country	:	US
Telephone Number	:	440-283-9686
Fax Number	:

Provider Business Practice Location Address
First Line	:	3846 GROSVENOR RD
Second Line	:
City	:	SOUTH EUCLID
State	:	OH
Zip	:	44118-2314
Country	:	US
Telephone Number	:	440-283-9686
Fax Number	:

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

Provider Enumeration Date	:	08/29/2024
Last Update Date	:	08/29/2024

Similar Medicare Providers

1508722273 — LATISHA GATSON
Practice Location Address:

3852 GROSVENOR RD
CLEVELAND, OH
44118-2314

Practice Phone: 216-235-3473
Practice Fax:

1023469756 — JHANDANI TAAJ BATIN LPN
Practice Location Address:

1941 SAGAMORE DR
EUCLID, OH
44117-2314

Practice Phone: 216-486-2999
Practice Fax: 216-361-2340

1053763615 — MS. STACY ERBES LISW-S
Practice Location Address:

1941 SAGAMORE DR
EUCLID, OH
44117-2314

Practice Phone: 216-486-2999
Practice Fax: 216-361-2340

1730607177 — CHRISTINE DURBIN HENDERSON
Practice Location Address:

1941 SAGAMORE DR
EUCLID, OH
44117-2314

Practice Phone: 216-486-2999
Practice Fax: 216-486-3951

1629662796 — TERRENCE INGRAM
Practice Location Address:

1995 SAGAMORE DR
EUCLID, OH
44117-2314

Practice Phone: 619-723-4971
Practice Fax:

1821080896 — RONALD J NASIF M.D.
Practice Location Address:

968 SOUTH ST
ROSLINDALE, MA
02131-2314

Practice Phone: 617-323-3334
Practice Fax: 617-327-9330

Directions to “ TREY V FORD ” 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.