Provider Demographics
NPI:1851072433
Name:CLEORA'S HOME CARE
Entity Type:Organization
Organization Name:CLEORA'S HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TENY
Authorized Official - Middle Name:
Authorized Official - Last Name:SPECKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-543-4804
Mailing Address - Street 1:50 MOHAWK RD
Mailing Address - Street 2:
Mailing Address - City:PONTIAC
Mailing Address - State:MI
Mailing Address - Zip Code:48341-1120
Mailing Address - Country:US
Mailing Address - Phone:313-543-4804
Mailing Address - Fax:
Practice Address - Street 1:50 MOHAWK RD
Practice Address - Street 2:
Practice Address - City:PONTIAC
Practice Address - State:MI
Practice Address - Zip Code:48341-1120
Practice Address - Country:US
Practice Address - Phone:313-543-4804
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-27
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health