Healthcare Provider Details

I. General information

NPI: 1841933736
Provider Name (Legal Business Name): GLENRIDGE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2022
Last Update Date: 01/12/2026
Certification Date: 01/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18201 MARCELLA RD
CLEVELAND OH
44119-2654
US

IV. Provider business mailing address

18201 MARCELLA RD
CLEVELAND OH
44119-2654
US

V. Phone/Fax

Practice location:
  • Phone: 216-835-1929
  • Fax:
Mailing address:
  • Phone:
  • 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 Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: TERRENCE UPCHURCH
Title or Position: OWNER
Credential:
Phone: 216-835-1929