MEDICARE: SIXFINITY 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	:	1699663054
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SIXFINITY LLC

Provider Business Mailing Address
First Line	:	1113 COUNTRY WAY
Second Line	:
City	:	BRUNSWICK
State	:	OH
Zip	:	44212-4737
Country	:	US
Telephone Number	:	216-551-0112
Fax Number	:

Provider Business Practice Location Address
First Line	:	1113 COUNTRY WAY
Second Line	:
City	:	BRUNSWICK
State	:	OH
Zip	:	44212-4737
Country	:	US
Telephone Number	:	216-551-0112
Fax Number	:	216-551-0112

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RICHARD CONWAY WILMOT
Credential	:
Telephone Number	:	216-551-0112

Provider Enumeration Date	:	06/25/2025
Last Update Date	:	06/25/2025

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Directions to “SIXFINITY LLC ” Practice Location

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