Healthcare Provider Details
I. General information
NPI: 1154279206
Provider Name (Legal Business Name): AVIDA HOME HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/16/2026
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
16102 CHAGRIN BLVD
SHAKER HEIGHTS OH
44120-5474
US
IV. Provider business mailing address
10815 DREXEL AVE
CLEVELAND OH
44108-3608
US
V. Phone/Fax
- Phone: 216-513-5930
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
TENZIN
THINLEY
Title or Position: CO-OWNER/CHIEF FINANCIAL OFFICER
Credential:
Phone: 440-547-3247