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NPI Code Detail

MEDICARE: HEALING HEROES LLC

MEDICARE: HEALING HEROES 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
3343900000XNon-emergency Medical Transport (VAN)
4251E00000XHome Health Agency

General Provider Information

NPI Number : 1679372692
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALING HEROES LLC
Provider Business Mailing Address
First Line : 9007 COLUMBIA AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44108-2903
Country : US
Telephone Number : 216-732-1059
Fax Number :
Provider Business Practice Location Address
First Line : 9007 COLUMBIA AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44108-2903
Country : US
Telephone Number : 216-732-1059
Fax Number :
Authorized Official
Title or Position : CEO
Name : AJA WHITEHEAD
Credential :
Telephone Number : 216-732-1059
Provider Enumeration Date : 03/11/2025
Last Update Date : 03/11/2025

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Directions to “HEALING HEROES LLC ” Practice Location

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