MEDICARE: DEVOTED HANDS HOME HEALTH SERVICES

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1508255092
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEVOTED HANDS HOME HEALTH SERVICES

Provider Business Mailing Address
First Line	:	PO BOX 18571
Second Line	:
City	:	CLEVELAND HTS
State	:	OH
Zip	:	44118-0571
Country	:	US
Telephone Number	:	216-912-8188
Fax Number	:

Provider Business Practice Location Address
First Line	:	1872 TAYLOR RD
Second Line	:
City	:	EAST CLEVELAND
State	:	OH
Zip	:	44112-2829
Country	:	US
Telephone Number	:	216-912-8188
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LASHONDA D REED
Credential	:
Telephone Number	:	216-912-8188

Provider Enumeration Date	:	01/21/2015
Last Update Date	:	01/27/2015

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