MEDICARE: TRACEY L SWEENEY

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	376J00000X	Homemaker

General Provider Information

NPI Number	:	1447846191
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRACEY L SWEENEY

Provider Business Mailing Address
First Line	:	5676 BROADVIEW RD APT 320
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44134-1674
Country	:	US
Telephone Number	:	216-789-3744
Fax Number	:

Provider Business Practice Location Address
First Line	:	5377 E 134TH ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44125-3209
Country	:	US
Telephone Number	:	216-789-3744
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/16/2020
Last Update Date	:	06/15/2026

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Directions to “ TRACEY L SWEENEY ” Practice Location

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