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NPI Code Detail

MEDICARE: I CARE HEALTHCARE LLC

MEDICARE: I CARE HEALTHCARE 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
1251C00000XDevelopmentally Disabled Services Day Training Agency
2251G00000XCommunity Based Hospice Care Agency
3251J00000XNursing Care Agency
4261QA0600XAdult Day Care Clinic/Center
5251E00000XHome Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558970699
Entity Type Code : Organization
Provider Name (Legal Business Name) : I CARE HEALTHCARE LLC
Provider Business Mailing Address
First Line : 2490 LEE BLVD STE 300
Second Line :
City : CLEVELAND HEIGHTS
State : OH
Zip : 44118-1271
Country : US
Telephone Number : 216-795-4747
Fax Number : 216-245-3607
Provider Business Practice Location Address
First Line : 2490 LEE BLVD STE 300
Second Line :
City : CLEVELAND HEIGHTS
State : OH
Zip : 44118-1271
Country : US
Telephone Number : 216-795-4747
Fax Number : 216-245-3607
Authorized Official
Title or Position : CEO
Name : CIERA SANDERS
Credential :
Telephone Number : 216-795-5757
Provider Enumeration Date : 07/24/2020
Last Update Date : 05/01/2023

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Directions to “I CARE HEALTHCARE LLC ” Practice Location

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