Healthcare Provider Details

I. General information

NPI: 1851229157
Provider Name (Legal Business Name): MECLE HOME HEALTH CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3777 WOODWORTH DR
LORAIN OH
44053-6100
US

IV. Provider business mailing address

3777 WOODWORTH DR
LORAIN OH
44053-6100
US

V. Phone/Fax

Practice location:
  • Phone: 216-409-7504
  • Fax:
Mailing address:
  • Phone: 216-409-7504
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: MECLIS IJANG KENDA
Title or Position: OWNER
Credential:
Phone: 216-409-7504