MEDICARE: CARE HEALTH SERVICES, 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
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1396229795
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE HEALTH SERVICES, LLC.

Provider Business Mailing Address
First Line	:	PO BOX 603912
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44103-0912
Country	:	US
Telephone Number	:	216-561-2273
Fax Number	:	216-561-2273

Provider Business Practice Location Address
First Line	:	1864 E 89TH ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44106-2006
Country	:	US
Telephone Number	:	216-561-2273
Fax Number	:	216-561-2273

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JUAHMEA C RIVERS
Credential	:
Telephone Number	:	216-561-2273

Provider Enumeration Date	:	09/20/2018
Last Update Date	:	09/20/2018

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