Healthcare Provider Details

I. General information

NPI: 1316828700
Provider Name (Legal Business Name): MAHOGANY HOME HEALTHCARE SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2025
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5902 TURNEY RD UNIT 4
GARFIELD HEIGHTS OH
44125-4400
US

IV. Provider business mailing address

5902 TURNEY RD UNIT 4
GARFIELD HEIGHTS OH
44125-4400
US

V. Phone/Fax

Practice location:
  • Phone: 216-353-2710
  • Fax: 216-353-2713
Mailing address:
  • Phone: 216-353-2710
  • Fax: 216-353-2713

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MISS MYRA HYACINTH CLARKE
Title or Position: DIRECTOR OF OPERATIONS
Credential: RN
Phone: 216-353-2710