MEDICARE: FAMILY TIES HOME CARE

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	343900000X	Non-emergency Medical Transport (VAN)
3	373H00000X	Day Training/Habilitation Specialist
4	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care
5	347C00000X	Private Vehicle
6	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1568003358
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY TIES HOME CARE

Provider Business Mailing Address
First Line	:	6412 FLEET AVE APT 2
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44105-7600
Country	:	US
Telephone Number	:	216-413-2412
Fax Number	:

Provider Business Practice Location Address
First Line	:	6412 FLEET AVE APT 2
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44105-7600
Country	:	US
Telephone Number	:	216-309-8111
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LATITIA HARDAWAY
Credential	:
Telephone Number	:	216-413-2412

Provider Enumeration Date	:	10/02/2019
Last Update Date	:	01/21/2026

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Directions to “FAMILY TIES HOME CARE ” Practice Location

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