MEDICARE: AMERICAN PRIDE HOME HEALTH CARE, INC

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	343900000X	Non-emergency Medical Transport (VAN)
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1770381857
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN PRIDE HOME HEALTH CARE, INC

Provider Business Mailing Address
First Line	:	17325 EUCLID AVE STE 4008
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44112-1262
Country	:	US
Telephone Number	:	440-681-9549
Fax Number	:

Provider Business Practice Location Address
First Line	:	17325 EUCLID AVE STE 4008
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44112-1262
Country	:	US
Telephone Number	:	440-681-9543
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	CHARMAINE S NIX
Credential	:
Telephone Number	:	440-681-9543

Provider Enumeration Date	:	03/05/2025
Last Update Date	:	12/16/2025

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