Healthcare Provider Details

I. General information

NPI: 1942098009
Provider Name (Legal Business Name): FIFTH AND HEART HOMECARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2025
Last Update Date: 08/25/2025
Certification Date: 08/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1188 BELL RD STE 105
CHAGRIN FALLS OH
44022-6101
US

IV. Provider business mailing address

1188 BELL RD STE 105
CHAGRIN FALLS OH
44022-6101
US

V. Phone/Fax

Practice location:
  • Phone: 216-353-2346
  • Fax:
Mailing address:
  • Phone: 440-375-3201
  • Fax: 440-375-3252

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MCKENZIE MISHLER
Title or Position: ADMIN
Credential:
Phone: 440-375-3201