MEDICARE: B-SEVEN

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1871218669
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	B-SEVEN

Provider Business Mailing Address
First Line	:	2022 REVERE RD
Second Line	:
City	:	CLEVELAND HTS
State	:	OH
Zip	:	44118-2634
Country	:	US
Telephone Number	:	470-563-5776
Fax Number	:

Provider Business Practice Location Address
First Line	:	2022 REVERE RD
Second Line	:
City	:	CLEVELAND HTS
State	:	OH
Zip	:	44118-2634
Country	:	US
Telephone Number	:	470-563-5776
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF OPERATIONS
Name	:	CATHERINE COPELAND
Credential	:
Telephone Number	:	470-563-5776

Provider Enumeration Date	:	10/05/2022
Last Update Date	:	10/05/2022

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