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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