Healthcare Provider Details
I. General information
NPI: 1982226304
Provider Name (Legal Business Name): KLEANING HANDZ LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/07/2020
Last Update Date: 05/07/2020
Certification Date: 05/07/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1109 CARNEGIE AVE
CLEVELAND OH
44115-2805
US
IV. Provider business mailing address
1109 CARNEGIE AVE
CLEVELAND OH
44115-2805
US
V. Phone/Fax
- Phone: 216-338-8009
- Fax:
- Phone: 216-338-8009
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332U00000X |
| Taxonomy | Home Delivered Meals |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KYMBERLY
HALL
Title or Position: GENERAL MANAGER
Credential:
Phone: 216-338-8009