MEDICARE: CLEAR CHOICE ASSISTED LIVING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1104759653
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLEAR CHOICE ASSISTED LIVING LLC

Provider Business Mailing Address
First Line	:	6370 YORK RD
Second Line	:
City	:	PARMA HEIGHTS
State	:	OH
Zip	:	44130-3051
Country	:	US
Telephone Number	:	440-996-5433
Fax Number	:	866-556-4437

Provider Business Practice Location Address
First Line	:	6370 YORK RD
Second Line	:
City	:	PARMA HEIGHTS
State	:	OH
Zip	:	44130-3051
Country	:	US
Telephone Number	:	440-996-5433
Fax Number	:	866-556-4437

Authorized Official
Title or Position	:	DIRECTOR OF OPERATIONS
Name	:	LAMIN BAH
Credential	:
Telephone Number	:	440-996-5433

Provider Enumeration Date	:	06/04/2026
Last Update Date	:	06/04/2026

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