MEDICARE: CARING HEARTS IN HOME SERVICE 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

General Provider Information

NPI Number	:	1467153262
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARING HEARTS IN HOME SERVICE LLC

Provider Business Mailing Address
First Line	:	15706 TALFORD AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44128-1231
Country	:	US
Telephone Number	:	216-609-8206
Fax Number	:

Provider Business Practice Location Address
First Line	:	1361 E 43RD ST OFC B
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44103-1109
Country	:	US
Telephone Number	:	440-694-2615
Fax Number	:

Authorized Official
Title or Position	:	OWNER/ADMINISTRATOR
Name	:	NADINE WALKER
Credential	:
Telephone Number	:	216-609-8206

Provider Enumeration Date	:	03/17/2023
Last Update Date	:	03/17/2023

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