Healthcare Provider Details

I. General information

NPI: 1891542023
Provider Name (Legal Business Name): PERMA HOMECARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2024
Last Update Date: 02/23/2025
Certification Date: 01/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 E 45TH ST STE 202
CLEVELAND OH
44127-1094
US

IV. Provider business mailing address

1468 W 9TH ST STE 100
CLEVELAND OH
44113-1252
US

V. Phone/Fax

Practice location:
  • Phone: 216-539-0305
  • Fax: 216-770-4957
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 Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ABDIFATAH YUSUF
Title or Position: MANAGING DIRECTOR
Credential:
Phone: 614-695-7478