MEDICARE: TAYLER CADE

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	314000000X	Skilled Nursing Facility	912	OH

General Provider Information

NPI Number	:	1720494495
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TAYLER CADE

Provider Business Mailing Address
First Line	:	1435 CLERMONT RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44110-2806
Country	:	US
Telephone Number	:	216-835-0904
Fax Number	:

Provider Business Practice Location Address
First Line	:	1435 CLERMONT RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44110-2806
Country	:	US
Telephone Number	:	216-835-0904
Fax Number	:

Authorized Official
Title or Position	:	STNA
Name	:	TAYLER CADE
Credential	:
Telephone Number	:	216-835-0904

Provider Enumeration Date	:	07/02/2014
Last Update Date	:	07/21/2022

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Directions to “TAYLER CADE ” Practice Location

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