Healthcare Provider Details

I. General information

NPI: 1073473054
Provider Name (Legal Business Name): SPRINGCARE HOME AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2025
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17325 EUCLID AVE STE 2183
CLEVELAND OH
44112-1250
US

IV. Provider business mailing address

17325 EUCLID AVE STE 2183
CLEVELAND OH
44112-1250
US

V. Phone/Fax

Practice location:
  • Phone: 614-973-1935
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL

VIII. Authorized Official

Name: MAHDI ALI
Title or Position: OWNER
Credential:
Phone: 614-973-1935