Healthcare Provider Details

I. General information

NPI: 1336079151
Provider Name (Legal Business Name): SAFE HARBOR HOME HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

466 NORTHFIELD RD STE 301
BEDFORD OH
44146-2289
US

IV. Provider business mailing address

466 NORTHFIELD RD STE 301
BEDFORD OH
44146-2289
US

V. Phone/Fax

Practice location:
  • Phone: 440-278-4537
  • Fax:
Mailing address:
  • Phone: 440-278-4537
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. CARLOS MARSHALL JOHNSON JR.
Title or Position: CEO
Credential: MPH, LPN M-IV
Phone: 440-278-4537