MEDICARE: PHHC, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1215112057
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHHC, LLC

Provider Business Mailing Address
First Line	:	26691 RICHMOND RD
Second Line	:
City	:	BEDFORD HEIGHTS
State	:	OH
Zip	:	44146-1447
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6133 ROCKSIDE RD
Second Line	:
City	:	INDEPENDENCE
State	:	OH
Zip	:	44131-2223
Country	:	US
Telephone Number	:	216-292-5706
Fax Number	:

Authorized Official
Title or Position	:	REP
Name	:	WILLIAM WEISBERG
Credential	:
Telephone Number	:	216-292-5706

Provider Enumeration Date	:	12/28/2007
Last Update Date	:	09/03/2014

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