MEDICARE: TAELOR MADE SERVICES

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	320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility

General Provider Information

NPI Number	:	1982546792
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TAELOR MADE SERVICES

Provider Business Mailing Address
First Line	:	5417 FAIRTREE RD
Second Line	:
City	:	BEDFORD HEIGHTS
State	:	OH
Zip	:	44146-1523
Country	:	US
Telephone Number	:	216-456-5220
Fax Number	:

Provider Business Practice Location Address
First Line	:	5417 FAIRTREE RD
Second Line	:
City	:	BEDFORD HEIGHTS
State	:	OH
Zip	:	44146-1523
Country	:	US
Telephone Number	:	216-456-5220
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF OPERATIONS
Name	:	TAELOR HARRIS
Credential	:	HARRIS
Telephone Number	:	216-456-5220

Provider Enumeration Date	:	04/08/2026
Last Update Date	:	04/08/2026

Similar Medicare Providers

1235115536 — KUMIKO NAKAMURA APRN
Practice Location Address:

2840 ALEXANDRIA PIKE
HIGHLAND HEIGHTS, KY
41076-1523

Practice Phone: 859-814-0307
Practice Fax:

1306851548 — WALGREEN CO
Practice Location Address:

2840 ALEXANDRIA PIKE
HIGHLAND HEIGHTS, KY
41076-1523

Practice Phone: 859-781-0566
Practice Fax:

1801990668 — CVS ALBANY LLC
Practice Location Address:

20609 LINDEN BLVD
CAMBRIA HEIGHTS, NY
11411-1523

Practice Phone: 718-276-8400
Practice Fax:

1295913341 — DR. KAREN DENISE BROCK
Practice Location Address:

20609 LINDEN BLVD
CAMBRIA HEIGHTS, NY
11411-1523

Practice Phone: 718-276-0412
Practice Fax: 718-276-2917

1841514833 — MS. PATRICIA TELLO RPH
Practice Location Address:

20609 LINDEN BLVD
CAMBRIA HEIGHTS, NY
11411-1523

Practice Phone: 718-276-0412
Practice Fax: 718-276-2917

1457631566 — LAURA PORTER PHARMD
Practice Location Address:

4522 FREDERICKSBURG RD , T-1523
BALCONES HEIGHTS, TX
78201-6521

Practice Phone: 210-280-0001
Practice Fax:

Directions to “TAELOR MADE SERVICES ” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.