Healthcare Provider Details

I. General information

NPI: 1710758701
Provider Name (Legal Business Name): VIVIAN HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2024
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5500 RIDGE RD STE 213
PARMA OH
44129-2367
US

IV. Provider business mailing address

5500 RIDGE RD STE 213
PARMA OH
44129-2367
US

V. Phone/Fax

Practice location:
  • Phone: 216-266-7658
  • Fax: 440-627-2324
Mailing address:
  • Phone: 440-340-5070
  • Fax: 440-627-2324

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ABDIFATAH SHUKRI HASSAN
Title or Position: OWNER
Credential:
Phone: 216-266-7658