Tiara Chante Adams

Individual provider Active NPI In Home Supportive Care Agency · South Euclid, OH

NPI 1760129621 · NPPES record last updated May 12, 2022

Key facts

NPI
1760129621
Entity type
Individual (NPI type 1)
Primary specialty
In Home Supportive Care Agency 253Z00000X
License
TU039238 (OH)
Practice address
4549 Liberty Rd
South Euclid, OH 44121-3820
Phone
(216) 632-7084
NPI assigned
May 12, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
TU039238OHMDIn Home Supportive Care Agency

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X TU039238 OH Yes

Addresses

Primary practice location

4549 Liberty Rd
South Euclid, OH 44121-3820

Mailing address

4549 Liberty Rd
South Euclid, OH 44121-3820
Phone (216) 632-7084

Other providers in South Euclid, OH

All providers in South Euclid, OH · In Home Supportive Care Agency in Ohio

Sources for this page

Verify at the official NPI Registry.