Healthcare Provider Details

I. General information

NPI: 1831042399
Provider Name (Legal Business Name): LIFE ANEW HOME HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2026
Last Update Date: 02/16/2026
Certification Date: 02/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27801 EUCLID AVE STE 300
EUCLID OH
44132-3547
US

IV. Provider business mailing address

27801 EUCLID AVE STE 300
EUCLID OH
44132-3547
US

V. Phone/Fax

Practice location:
  • Phone: 216-417-1007
  • Fax:
Mailing address:
  • Phone: 216-417-1007
  • 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
# 3
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER HENDERSON
Title or Position: OWNER
Credential:
Phone: 216-417-1007