MEDICARE: FORGOTTEN FACES COMMUNITY

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	311ZA0620X	Adult Care Home Facility
2	385H00000X	Respite Care
3	385HR2050X	Respite Care Camp
4	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1932888013
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FORGOTTEN FACES COMMUNITY

Provider Business Mailing Address
First Line	:	1034 E 146TH ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44110-3316
Country	:	US
Telephone Number	:	216-609-6657
Fax Number	:

Provider Business Practice Location Address
First Line	:	1034 E 146TH ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44110-3316
Country	:	US
Telephone Number	:	216-609-6657
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	LAKEYTA GILCREASE
Credential	:
Telephone Number	:	216-609-6657

Provider Enumeration Date	:	07/14/2023
Last Update Date	:	07/12/2025

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Directions to “FORGOTTEN FACES COMMUNITY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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