MEDICARE: RESOURCE ALLIANCE 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

Other Identifiers

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

General Provider Information

NPI Number	:	1730629007
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESOURCE ALLIANCE HOME CARE LLC

Provider Business Mailing Address
First Line	:	2000 LEE RD
Second Line	:
City	:	CLEVELAND HTS
State	:	OH
Zip	:	44118-2572
Country	:	US
Telephone Number	:	216-465-9977
Fax Number	:	216-600-9577

Provider Business Practice Location Address
First Line	:	2000 LEE RD STE 24
Second Line	:
City	:	CLEVELAND HTS
State	:	OH
Zip	:	44118-2559
Country	:	US
Telephone Number	:	216-465-9977
Fax Number	:	216-600-9577

Authorized Official
Title or Position	:	OWNER
Name	:	MS. SIANA STEWART
Credential	:
Telephone Number	:	216-465-9977

Provider Enumeration Date	:	03/06/2017
Last Update Date	:	03/06/2017

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