Healthcare Provider Details

I. General information

NPI: 1134905284
Provider Name (Legal Business Name): AHC HOME HEALTH OF CLEVELAND LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2023
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2108 LANDER RD STE B
MAYFIELD HEIGHTS OH
44124-4137
US

IV. Provider business mailing address

2108 LANDER RD STE B
MAYFIELD HEIGHTS OH
44124-4152
US

V. Phone/Fax

Practice location:
  • Phone: 440-276-7000
  • Fax: 440-276-7050
Mailing address:
  • Phone: 440-276-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: FOREST ARNETT
Title or Position: PRESIDENT
Credential:
Phone: 385-622-4500