MEDICARE: LOVE & GRACE HOME CARE, 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	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1265384507
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOVE & GRACE HOME CARE, LLC

Provider Business Mailing Address
First Line	:	845 EAST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44119
Country	:	US
Telephone Number	:	216-583-6940
Fax Number	:

Provider Business Practice Location Address
First Line	:	845 E 220TH ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44119-1872
Country	:	US
Telephone Number	:	216-583-6940
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	KIMBERLY DAVETTE DIXON
Credential	:
Telephone Number	:	216-583-6940

Provider Enumeration Date	:	02/10/2026
Last Update Date	:	02/10/2026

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Directions to “LOVE & GRACE HOME CARE, LLC ” Practice Location

Language	Start Address	Practice Location

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