Healthcare Provider Details

I. General information

NPI: 1104759653
Provider Name (Legal Business Name): CLEAR CHOICE ASSISTED LIVING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6370 YORK RD
PARMA HEIGHTS OH
44130-3051
US

IV. Provider business mailing address

6370 YORK RD
PARMA HEIGHTS OH
44130-3051
US

V. Phone/Fax

Practice location:
  • Phone: 440-996-5433
  • Fax: 866-556-4437
Mailing address:
  • Phone: 440-996-5433
  • Fax: 866-556-4437

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: LAMIN BAH
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 440-996-5433