MEDICARE: INDEPENDENT HEALTHCARE 2.0

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	253Z00000X	In Home Supportive Care Agency
2	251E00000X	Home Health Agency
3	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1417655473
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INDEPENDENT HEALTHCARE 2.0

Provider Business Mailing Address
First Line	:	P.O BOX 654444
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44105
Country	:	US
Telephone Number	:	216-301-6751
Fax Number	:

Provider Business Practice Location Address
First Line	:	11806 RUTLAND AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44108-1538
Country	:	US
Telephone Number	:	216-301-6751
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. JETTON R FREEMAN
Credential	:
Telephone Number	:	216-301-6751

Provider Enumeration Date	:	02/20/2023
Last Update Date	:	03/08/2023

Similar Medicare Providers

1649080516 — LAKISHIA R FREEMAN
Practice Location Address:

11806 RUTLAND AVE
CLEVELAND, OH
44108-1538

Practice Phone: 216-338-9097
Practice Fax:

1457932386 — DON'T STOP DON'T QUIT
Practice Location Address:

11806 RUTLAND AVE
CLEVELAND, OH
44108-1538

Practice Phone: 216-338-9097
Practice Fax:

1154105617 — MRS. CYNTHIA WIGGINS
Practice Location Address:

1153 E 170TH ST
CLEVELAND, OH
44110-1538

Practice Phone: 216-577-2288
Practice Fax:

1750279162 — EDENIC HEALTH LLC
Practice Location Address:

1200 BRENTWOOD RD
CLEVELAND HEIGHTS, OH
44121-1538

Practice Phone: 313-408-5448
Practice Fax:

1467321588 — NAYIRA AMEY
Practice Location Address:

9508 EDMUNDS AVE
CLEVELAND, OH
44106-1538

Practice Phone: 440-429-0031
Practice Fax:

1629927033 — IMPACT RESOLUTION LLC
Practice Location Address:

627 E 113TH ST
CLEVELAND, OH
44108-2602

Practice Phone: 440-742-9478
Practice Fax:

Directions to “INDEPENDENT HEALTHCARE 2.0 ” 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.