MEDICARE: TRUTH AND VISION MINISTRIES, NONPROFIT

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	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1861127466
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRUTH AND VISION MINISTRIES, NONPROFIT

Provider Business Mailing Address
First Line	:	12680 ROCKSIDE RD
Second Line	:
City	:	GARFIELD HEIGHTS
State	:	OH
Zip	:	44125-4525
Country	:	US
Telephone Number	:	216-510-0029
Fax Number	:

Provider Business Practice Location Address
First Line	:	12680 ROCKSIDE RD
Second Line	:
City	:	GARFIELD HEIGHTS
State	:	OH
Zip	:	44125-4525
Country	:	US
Telephone Number	:	216-510-0029
Fax Number	:

Authorized Official
Title or Position	:	BOARD PRESIDENT
Name	:	MELISSA KHORANA
Credential	:	RN,MS,ANP
Telephone Number	:	216-317-0034

Provider Enumeration Date	:	07/19/2022
Last Update Date	:	01/15/2024

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