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NPI Code Detail

MEDICARE: CENTERLIGHT HOME CARE LLC

MEDICARE: CENTERLIGHT HOME CARE 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
1253Z00000XIn Home Supportive Care Agency
2261QA0600XAdult Day Care Clinic/Center
3261QD1600XDevelopmental Disabilities Clinic/Center

General Provider Information

NPI Number : 1609476639
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTERLIGHT HOME CARE LLC
Provider Business Mailing Address
First Line : 15204 PURITAS AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44135-2716
Country : US
Telephone Number : 440-318-9159
Fax Number :
Provider Business Practice Location Address
First Line : 15204 PURITAS AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44135-2716
Country : US
Telephone Number : 440-318-9159
Fax Number : 216-727-1845
Authorized Official
Title or Position : PRESIDENT
Name : MR. KHADANANDA ADHIKARI
Credential :
Telephone Number : 440-318-9159
Provider Enumeration Date : 10/28/2020
Last Update Date : 12/09/2025

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Directions to “CENTERLIGHT HOME CARE LLC ” Practice Location

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