Healthcare Provider Details
I. General information
NPI: 1558063370
Provider Name (Legal Business Name): HIMALAYAN HEALTHCARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/17/2023
Last Update Date: 12/09/2024
Certification Date: 12/09/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5753 CHEVROLET BLVD
PARMA OH
44130-1414
US
IV. Provider business mailing address
5753 CHEVROLET BLVD
PARMA OH
44130-1414
US
V. Phone/Fax
- Phone: 315-507-1924
- Fax:
- Phone: 440-558-2296
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QA0600X |
| Taxonomy | Adult Day Care Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 343900000X |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
GOVINDA
ADHIKARI
Title or Position: MEMBER
Credential:
Phone: 315-507-1924