Healthcare Provider Details

I. General information

NPI: 1487432084
Provider Name (Legal Business Name): WELLSKY HOME HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2023
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 E 45TH ST STE 375
CLEVELAND OH
44127-1088
US

IV. Provider business mailing address

3100 E 45TH ST STE 375
CLEVELAND OH
44127-1088
US

V. Phone/Fax

Practice location:
  • Phone: 614-804-5751
  • Fax: 216-586-5782
Mailing address:
  • Phone: 614-804-5751
  • Fax: 216-586-5782

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MUKHTAR HUSSEIN MUHUMED
Title or Position: CEO
Credential:
Phone: 614-804-5751