MEDICARE: ANNIE'S HOUSE HEALTHCARE SERVICES 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1356109904
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANNIE'S HOUSE HEALTHCARE SERVICES LLC

Provider Business Mailing Address
First Line	:	48 ALPHA PARK
Second Line	:
City	:	HIGHLAND HTS
State	:	OH
Zip	:	44143-2208
Country	:	US
Telephone Number	:	216-556-3457
Fax Number	:

Provider Business Practice Location Address
First Line	:	48 ALPHA PARK
Second Line	:
City	:	HIGHLAND HTS
State	:	OH
Zip	:	44143-2208
Country	:	US
Telephone Number	:	216-556-3457
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SKYE GRIGGS
Credential	:
Telephone Number	:	216-556-3457

Provider Enumeration Date	:	03/08/2024
Last Update Date	:	08/20/2025

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