MEDICARE: HELPING HANDS & LOVING HEARTS,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	311ZA0620X	Adult Care Home Facility	037587	OH

General Provider Information

NPI Number	:	1801288386
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HELPING HANDS & LOVING HEARTS,LLC

Provider Business Mailing Address
First Line	:	5369 HOMER AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44103-1328
Country	:	US
Telephone Number	:	216-396-6169
Fax Number	:

Provider Business Practice Location Address
First Line	:	5369 HOMER AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44103-1328
Country	:	US
Telephone Number	:	216-396-6169
Fax Number	:

Authorized Official
Title or Position	:	ADULT CARE SPECIALIST
Name	:	MISS DEVONDRA MARSHALL
Credential	:
Telephone Number	:	216-396-6169

Provider Enumeration Date	:	02/20/2015
Last Update Date	:	02/20/2015

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