Organization
CLEVELAND CLINIC INDEPENDENCE AT HOME
Active
Organization
CLEVELAND CLINIC INDEPENDENCE AT HOME
Active
Other names
Cleveland Clinic Home Care Servic
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL P HARRINGTON (CHIEF ACCT OFFICER AND CONTROLLER)
(216) 445-8990
Entity
Organization
Contact information
Practice address
6801 BRECKSVILLE RD, SUITE 10, INDEPENDENCE, OH 44131-5032
(216) 444-9819
(216) 520-1973
Mailing address
PO BOX 931664, CLEVELAND, OH 44193-1777
(216) 444-9819
(216) 520-1973
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
07/03/2012
Last updated
09/19/2013
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