Healthcare Provider Details

I. General information

NPI: 1679372692
Provider Name (Legal Business Name): HEALING HEROES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2025
Last Update Date: 03/11/2025
Certification Date: 03/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9007 COLUMBIA AVE
CLEVELAND OH
44108-2903
US

IV. Provider business mailing address

9007 COLUMBIA AVE
CLEVELAND OH
44108-2903
US

V. Phone/Fax

Practice location:
  • Phone: 216-732-1059
  • Fax:
Mailing address:
  • Phone: 216-732-1059
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: AJA WHITEHEAD
Title or Position: CEO
Credential:
Phone: 216-732-1059