MEDICARE: HODAN HEALTH 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	:	1992072961
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HODAN HEALTH SERVICES, LLC

Provider Business Mailing Address
First Line	:	12800 SHAKER BLVD STE 240D
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44120-2000
Country	:	US
Telephone Number	:	216-751-0159
Fax Number	:

Provider Business Practice Location Address
First Line	:	12800 SHAKER BLVD # 240D
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44120-2000
Country	:	US
Telephone Number	:	216-751-0159
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. MAGAN ABRAHAM
Credential	:
Telephone Number	:	614-285-5771

Provider Enumeration Date	:	11/18/2011
Last Update Date	:	05/04/2020

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Directions to “HODAN HEALTH SERVICES, LLC ” Practice Location

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