| Organization Name: | CLEVELAND HOME CARE SERVICES LLC |
| NPI Number: | 1538139910 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LAURIE HOLTSFORD (AUTH OFFICIAL) |
| Mailing Address: | 175 24th St Nw Cleveland |
| State: | TN US |
| Postal Code: | 373113826 |
| Phone Number: | 4235596092 |
| Fax Number: | 4235596093 |
| NPI Enumeration Date: | 01/26/2006 |
| NPI Last Update Date: | 01/20/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 0000000358 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |