Healthcare Provider Details

I. General information

NPI: 1770381857
Provider Name (Legal Business Name): AMERICAN PRIDE HOME HEALTH CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17325 EUCLID AVE STE 4008
CLEVELAND OH
44112-1262
US

IV. Provider business mailing address

17325 EUCLID AVE STE 4008
CLEVELAND OH
44112-1262
US

V. Phone/Fax

Practice location:
  • Phone: 440-681-9543
  • Fax:
Mailing address:
  • Phone: 440-681-9549
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CHARMAINE S NIX
Title or Position: MANAGER
Credential:
Phone: 440-681-9543