MEDICARE: HEALING HOME HEALTHCARE, 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	:	1417402405
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALING HOME HEALTHCARE, LLC

Provider Business Mailing Address
First Line	:	17325 EUCLID AVE STE 2033
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44112-1247
Country	:	US
Telephone Number	:	216-930-4699
Fax Number	:	216-230-5219

Provider Business Practice Location Address
First Line	:	17325 EUCLID AVE STE 2033
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44112-1247
Country	:	US
Telephone Number	:	216-930-4699
Fax Number	:	216-230-5219

Authorized Official
Title or Position	:	CEO
Name	:	EDIRIS ADAN
Credential	:
Telephone Number	:	216-600-6111

Provider Enumeration Date	:	08/18/2016
Last Update Date	:	05/07/2025

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Directions to “HEALING HOME HEALTHCARE, LLC ” Practice Location

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