Healthcare Provider Details

I. General information

NPI: 1295247625
Provider Name (Legal Business Name): CONVENIENT CARE HOME HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2017
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 SUMMIT PARK DR STE 135
INDEPENDENCE OH
44131-2582
US

IV. Provider business mailing address

3 SUMMIT PARK DR STE 135
INDEPENDENCE OH
44131-2582
US

V. Phone/Fax

Practice location:
  • Phone: 440-742-9721
  • Fax:
Mailing address:
  • Phone: 440-742-9721
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: SALICE BERLIN HARTFIELD
Title or Position: CEO
Credential: CEO
Phone: 440-742-9721