MEDICARE: UNIVERSITY SETTLEMENT, INCORPORATED

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	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1871558528
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSITY SETTLEMENT, INCORPORATED

Provider Business Mailing Address
First Line	:	4800 BROADWAY AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44127-1012
Country	:	US
Telephone Number	:	216-641-8948
Fax Number	:	216-641-7971

Provider Business Practice Location Address
First Line	:	4800 BROADWAY AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44127-1012
Country	:	US
Telephone Number	:	216-641-8948
Fax Number	:	216-641-7971

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MS. TRACEY N MASON
Credential	:
Telephone Number	:	216-641-8948

Provider Enumeration Date	:	04/18/2006
Last Update Date	:	08/22/2020

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