MEDICARE: ACT CARES 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	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1407382229
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACT CARES LLC

Provider Business Mailing Address
First Line	:	1521 CHARDON RD
Second Line	:
City	:	EUCLID
State	:	OH
Zip	:	44117
Country	:	US
Telephone Number	:	216-650-0862
Fax Number	:

Provider Business Practice Location Address
First Line	:	1521 CHARDON RD
Second Line	:
City	:	EUCLID
State	:	OH
Zip	:	44117
Country	:	US
Telephone Number	:	216-650-0862
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF OPERATIONS
Name	:	CARLA DENISE WILKERSON
Credential	:
Telephone Number	:	216-835-7270

Provider Enumeration Date	:	05/11/2017
Last Update Date	:	02/24/2026

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