Healthcare Provider Details
I. General information
NPI: 1114657616
Provider Name (Legal Business Name): ARENA HOME HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/16/2022
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
15644 MADISON AVE STE 206
LAKEWOOD OH
44107-5622
US
IV. Provider business mailing address
15644 MADISON AVE STE 206
LAKEWOOD OH
44107-5622
US
V. Phone/Fax
- Phone: 614-815-3294
- Fax:
- Phone: 614-815-3294
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ADEN
WORSEME
Title or Position: CEO
Credential:
Phone: 614-815-3294