Healthcare Provider Details

I. General information

NPI: 1609787647
Provider Name (Legal Business Name): DAVIS FAMILY HOME CARE SOLUTION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

785 E 236TH ST
EUCLID OH
44123-2515
US

IV. Provider business mailing address

989 KEYSTONE DR
CLEVELAND OH
44121-2470
US

V. Phone/Fax

Practice location:
  • Phone: 216-356-0601
  • Fax:
Mailing address:
  • Phone: 216-356-0601
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. MARSHAY DAVIS
Title or Position: OWNER
Credential:
Phone: 216-356-0601