MEDICARE: COMMUNITY BOUND AGENCY NEW DAY LEADERS LLC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	347E00000X	Transportation Broker
2	372600000X	Adult Companion
3	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1962088294
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY BOUND AGENCY NEW DAY LEADERS LLC.

Provider Business Mailing Address
First Line	:	33140 AURORA RD STE 10
Second Line	:
City	:	SOLON
State	:	OH
Zip	:	44139-3650
Country	:	US
Telephone Number	:	440-600-2636
Fax Number	:

Provider Business Practice Location Address
First Line	:	33140 AURORA RD STE 10
Second Line	:
City	:	SOLON
State	:	OH
Zip	:	44139-3650
Country	:	US
Telephone Number	:	440-600-2636
Fax Number	:

Authorized Official
Title or Position	:	SUPERVISOR/PROPRIETOR
Name	:	MARCELLA J SINGLETON
Credential	:
Telephone Number	:	216-288-5572

Provider Enumeration Date	:	03/18/2021
Last Update Date	:	03/18/2021

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