MEDICARE: SWEET HOME HEALTHCARE OF OHIO, 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	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1750234118
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SWEET HOME HEALTHCARE OF OHIO, LLC

Provider Business Mailing Address
First Line	:	1400 E 105TH ST STE 5
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44106-1101
Country	:	US
Telephone Number	:	502-269-6470
Fax Number	:	888-467-5575

Provider Business Practice Location Address
First Line	:	1400 E 105TH ST STE 5
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44106-1101
Country	:	US
Telephone Number	:	502-269-6470
Fax Number	:	888-467-5575

Authorized Official
Title or Position	:	CEO
Name	:	FELICIA SHAFFER
Credential	:	DM
Telephone Number	:	502-269-6470

Provider Enumeration Date	:	02/17/2026
Last Update Date	:	02/17/2026

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