MEDICARE: JOSEPH A GEORGE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	172A00000X	Driver	OH
2	376J00000X	Homemaker	OH
3	253Z00000X	In Home Supportive Care Agency	OH

General Provider Information

NPI Number	:	1861335705
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH A GEORGE

Provider Business Mailing Address
First Line	:	6315 SHADOW CREEK DR
Second Line	:
City	:	MEDINA
State	:	OH
Zip	:	44256-7804
Country	:	US
Telephone Number	:	216-804-2469
Fax Number	:

Provider Business Practice Location Address
First Line	:	6315 SHADOW CREEK DR
Second Line	:
City	:	MEDINA
State	:	OH
Zip	:	44256-7804
Country	:	US
Telephone Number	:	216-804-2469
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2026
Last Update Date	:	04/14/2026

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Directions to “ JOSEPH A GEORGE ” Practice Location

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