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Organization

CLEVELAND CLINIC HOME CARE SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL P HARRINGTON (CHEIF ACCOUNTING OFFICER &CONTROLLE)
(216) 445-8990
Entity
Organization

Contact information

Practice address
6801 BRECKSVILLE RD, SUITE 10, INDEPENDENCE, OH 44131-5032
(216) 636-8816
(216) 636-8887
Mailing address
6801 BRECKSVILLE RD, SUITE 10, INDEPENDENCE, OH 44131-5032
(216) 636-8816
(216) 636-8887

Taxonomy

Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
020662200
OH
332BX2000X
Oxygen Equipment & Supplies (DME)
HMEL11047
OH
333600000X
Pharmacy
020662200
OH
333600000X
Pharmacy
MO0559169
WV
333600000X
Pharmacy
OH837
KY
333600000X
Pharmacy
PH11846
FL
3336H0001X
Home Infusion Therapy Pharmacy
Primary
020662200
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000028369
ANTHEM
01
000325014
BLUE CROSS MOUNTAIN STATE
WV
01
000589230008
BLUE CROSS WESTERN N Y
NY
05
0828804
OH
01
0997529
AETNA
01
1422382
UNITED MINE WORKERS
01
220257
BLUE CROSS HIGHMARK
01
3417093400
WORKERS COMPENSATION
OH
01
341770934002
MEDICAL MUTUAL
OH
01
4960054
UNITED RESOURCE NETWORK
01
5281520
AETNA OHIO
OH
01
6000084
UNITED HEALTHCARE
05
6040066000
WV
Enumeration date
07/03/2006
Last updated
04/18/2016
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