MEDICARE: BEST HOME CARE AGENCY, 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1245759430
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEST HOME CARE AGENCY, LLC

Provider Business Mailing Address
First Line	:	16781 CHAGRIN BLVD # 230
Second Line	:
City	:	SHAKER HEIGHTS
State	:	OH
Zip	:	44120-3721
Country	:	US
Telephone Number	:	216-313-9350
Fax Number	:

Provider Business Practice Location Address
First Line	:	3593 PENNINGTON RD
Second Line	:
City	:	SHAKER HEIGHTS
State	:	OH
Zip	:	44120-5013
Country	:	US
Telephone Number	:	216-313-9350
Fax Number	:	216-313-9350

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	TAUNYA ROCK
Credential	:
Telephone Number	:	216-313-9350

Provider Enumeration Date	:	09/19/2017
Last Update Date	:	09/19/2017

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