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Organization
CLEVELAND CLINIC FOUNDATION CLEVELAND CLINIC HOME CARE
Active
Organization
CLEVELAND CLINIC FOUNDATION CLEVELAND CLINIC HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS LARAWAY (EXECUTIVE VP CHIEF FINANCE OFFICER)
(216) 445-1343
Entity
Organization
Contact information
Practice address
6801 BRECKSVILLE RD, SUITE 10, INDEPENDENCE, OH 44131-5032
(216) 444-4663
(216) 636-8847
Mailing address
6801 BRECKSVILLE RD, STE 20, ATTN: DPC RK2-7, INDEPENDENCE, OH 44131-5062
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0396405
—
OH
01
—
367142
MEDICARE PTAN
OH
Enumeration date
01/27/2006
Last updated
08/05/2025
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