MEDICARE: CARING WITH CRUZ HOME CARE 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1710798004
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARING WITH CRUZ HOME CARE LLC

Provider Business Mailing Address
First Line	:	4510 RUNNINGFAWN DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45247-7530
Country	:	US
Telephone Number	:	513-704-0491
Fax Number	:

Provider Business Practice Location Address
First Line	:	201 E 5TH ST # 1937
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45202-4152
Country	:	US
Telephone Number	:	513-704-0491
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. SHANIKA CRUZ
Credential	:
Telephone Number	:	513-704-0491

Provider Enumeration Date	:	01/15/2025
Last Update Date	:	01/15/2025

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