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NPI Code Detail

MEDICARE: NORTHEAST HOME HEALTH SERVICES

MEDICARE: NORTHEAST HOME HEALTH SERVICES
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
1251E00000XHome Health Agency2204648OH

General Provider Information

NPI Number : 1407294713
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTHEAST HOME HEALTH SERVICES
Provider Business Mailing Address
First Line : 20600 CHAGRIN BLVD STE 301
Second Line :
City : SHAKER HEIGHTS
State : OH
Zip : 44122-5327
Country : US
Telephone Number : 614-839-2000
Fax Number : 614-305-5114
Provider Business Practice Location Address
First Line : 20600 CHAGRIN BLVD STE 301
Second Line :
City : SHAKER HEIGHTS
State : OH
Zip : 44122-5334
Country : US
Telephone Number : 614-839-2000
Fax Number : 614-305-5114
Authorized Official
Title or Position : CEO
Name : BARKHAD ABDULLAHI
Credential :
Telephone Number : 614-598-4605
Provider Enumeration Date : 06/08/2013
Last Update Date : 12/09/2024

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Directions to “NORTHEAST HOME HEALTH SERVICES ” Practice Location

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