Mountaineer Home Healthcare Agency

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MOUNTAINEER HOME HEALTHCARE AGENCY

Practice address

4415 Euclid Ave Ste 345
Cleveland, OH 44103-3758

Phone

(216) 799-6689

Fax

(216) 881-5995

NPI assigned

Jan 13, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ethel Augustus Ethel Augustus

Title

Member

Phone

(216) 799-6689

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ethel Augustus, OWNER

  • Home Health Agency
  • Cleveland, OH
  • NPI 1104781574
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1768262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768262400000",
    "number": "1134087760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4415 EUCLID AVE STE 345",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441033758",
            "telephone_number": "216-799-6689",
            "fax_number": "216-881-5995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 EUCLID AVE STE 345",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441033758",
            "telephone_number": "216-799-6689",
            "fax_number": "216-881-5995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAINEER HOME HEALTHCARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-13",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A",
        "authorized_official_last_name": "ETHEL AUGUSTUS",
        "authorized_official_first_name": "ETHEL AUGUSTUS",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "216-799-6689"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Edward Moul, M.D., M.P.H.
• Ebony Nicole Moultry, STNA
• Shannon Dominique Moultry, LPN
• Mount Horeb Homecare LLC
• William Mount, LPC
• Mountaineer Home Healthcare Agency, LLC
• Annika Mounts, MD
• Ronda Mourad, M.D.
• Elyssa Mourany, DDS
• Ahmad Mousa

• Home Health Agency in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.