Healthcare Provider Details

I. General information

NPI: 1114675667
Provider Name (Legal Business Name): JIA ALIYA HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2022
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

398 W BAGLEY RD STE 202
BEREA OH
44017-1312
US

IV. Provider business mailing address

398 W BAGLEY RD STE 202
BEREA OH
44017-1312
US

V. Phone/Fax

Practice location:
  • Phone: 216-236-8333
  • Fax: 440-306-5205
Mailing address:
  • Phone: 216-236-8333
  • Fax: 440-306-5205

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: MRS. CHARMI PATEL
Title or Position: CEO
Credential:
Phone: 216-236-8333