MEDICARE: EXPRESS HOME HEALTH SERVICES 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	:	1922820521
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EXPRESS HOME HEALTH SERVICES LLC

Provider Business Mailing Address
First Line	:	17325 EUCLID AVE STE 2034
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44112-1247
Country	:	US
Telephone Number	:	216-808-3200
Fax Number	:

Provider Business Practice Location Address
First Line	:	17325 EUCLID AVE STE 2034
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44112-1247
Country	:	US
Telephone Number	:	216-808-3200
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. HASSAN MUSSE HASSAN
Credential	:
Telephone Number	:	216-808-3200

Provider Enumeration Date	:	10/26/2024
Last Update Date	:	10/26/2024

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Directions to “EXPRESS HOME HEALTH SERVICES LLC ” Practice Location

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