MEDICARE: CARRINGTON

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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1992337703
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARRINGTON

Provider Business Mailing Address
First Line	:	545 HARVARD AVE
Second Line	:
City	:	ELYRIA
State	:	OH
Zip	:	44035-6629
Country	:	US
Telephone Number	:	440-219-5406
Fax Number	:

Provider Business Practice Location Address
First Line	:	2114 NOBLE RD
Second Line	:
City	:	EAST CLEVELAND
State	:	OH
Zip	:	44112-1725
Country	:	US
Telephone Number	:	216-496-4726
Fax Number	:

Authorized Official
Title or Position	:	CASE MANAGER
Name	:	MISS DONNAMARIE BERARDINELLI
Credential	:	QMHS
Telephone Number	:	440-219-6405

Provider Enumeration Date	:	02/10/2020
Last Update Date	:	02/10/2020

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Directions to “CARRINGTON ” Practice Location

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