Healthcare Provider Details

I. General information

NPI: 1831363787
Provider Name (Legal Business Name): E GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2008
Last Update Date: 06/15/2023
Certification Date: 06/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5425 WARNER RD STE 14
CLEVELAND OH
44125-1146
US

IV. Provider business mailing address

5425 WARNER RD STE 14
CLEVELAND OH
44125-1146
US

V. Phone/Fax

Practice location:
  • Phone: 216-595-3681
  • Fax:
Mailing address:
  • Phone: 216-595-3681
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MARK E SHEE
Title or Position: OWNER
Credential:
Phone: 216-595-3681