Organization
CLEVELAND HOME CARE SERVICES LLC
Active
Parent organization
NATIONAL HEALTHCARE OF CLEVELAND, INC
Other names
Family Hospice Cleveland
Organization subpart
Yes
Provider details
NPI number
Legal business name
NATIONAL HEALTHCARE OF CLEVELAND, INC
Authorized official
LAURIE HOLTSFORD (AUTH OFFICIAL)
(615) 465-7466
Entity
Organization
Contact information
Practice address
175 24TH ST NW, CLEVELAND, TN 37311-3826
(423) 559-6092
(423) 559-6093
Mailing address
175 24TH ST NW, CLEVELAND, TN 37311-3826
(423) 559-6092
(423) 559-6093
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
0000000358
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044-1505
—
TN
01
—
4114881
BLUE CARE TENNCARE
TN
Enumeration date
01/26/2006
Last updated
01/20/2012
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