MEDICARE: PENELOPE CARING COMPANIONS 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	372600000X	Adult Companion

General Provider Information

NPI Number	:	1740137868
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PENELOPE CARING COMPANIONS LLC

Provider Business Mailing Address
First Line	:	4910 E 88TH ST
Second Line	:
City	:	GARFIELD HEIGHTS
State	:	OH
Zip	:	44125-2014
Country	:	US
Telephone Number	:	216-956-1511
Fax Number	:

Provider Business Practice Location Address
First Line	:	4910 E 88TH ST
Second Line	:
City	:	GARFIELD HEIGHTS
State	:	OH
Zip	:	44125-2014
Country	:	US
Telephone Number	:	216-956-1511
Fax Number	:

Authorized Official
Title or Position	:	OWNER/ADMIN
Name	:	REGINE SYMONE CHEATHAM
Credential	:
Telephone Number	:	440-691-4101

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	03/16/2026

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