Organization Active NPI

Multicare Health & Educational Services Inc.

  • Home Health Agency
  • Euclid, OH
National Provider Identifier
1194784801
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
524209285 Issued in OH
Legal business name
MULTICARE HEALTH & EDUCATIONAL SERVICES INC.
Practice address
27691 Euclid Ave
B1
Euclid, OH 44132-3550
Phone
(216) 731-8900
Fax
(216) 731-8972
NPI assigned
Mar 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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

Authorized official

Name
Dr. Johnnie Mae Henderson, EDD/RN
Title
Administrator
Phone
(216) 731-8900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 524209285 OH Primary

Addresses

Primary practice location

27691 Euclid Ave
B1
Euclid, OH 44132-3550

Mailing address

27691 Euclid Ave
B1
Euclid, OH 44132-3550
Phone (216) 731-8900

Other identifiers 1

IdentifierTypeStateIssuer
2015563MedicaidOH

Other names 1

  • Multicare Home Health Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090423000011 OH Part A Provider - Home Health Agency 5799833190 Practice locations: Euclid, OH

Home health agency certification: CCN 367731

Legal name
MULTICARE HEALTH & EDUCATIONAL SERVICES INC.
Doing business as
MULTICARE HOME HEALTH SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 7, 1997
Last certification
Nov 15, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Feb 11, 1997 in OH
Enrollment address
27691 Euclid Avenue
Suite B-1
Euclid, OH 44132-2355

Care Compare: Home health agency

Medicare Care Compare
Listed as
Multicare Home Health ServicesCCN 367731
Ownership
Proprietary
Certified
May 7, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0926205Multicare Health & Educational SVC Inc27691 Euclid Avenue, Euclid, OH 44132Certificate of waiverMar 17, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lorenza Henderson Individual 5% Or Greater Direct Ownership Interest Nov 1, 2021 34.5%
Corporate Director Apr 2, 2008
W-2 Managing Employee Apr 2, 2008
Dorothy Kuhns Individual 5% Or Greater Direct Ownership Interest Nov 1, 2021 18%
Corporate Director Apr 2, 2008
W-2 Managing Employee Apr 2, 2008
Johnny L Henderson Individual 5% Or Greater Direct Ownership Interest Nov 1, 2021 10.5%
Corporate Director Nov 1, 2021
W-2 Managing Employee Nov 1, 2021
Michael Kuhns Individual W-2 Managing EmployeeAdministrator May 15, 2015
Operational/Managerial ControlAdministrator May 15, 2015
Johnny Henderson Individual 5% Or Greater Direct Ownership Interest Nov 1, 2021 37%
Corporate Director Apr 2, 2008
W-2 Managing Employee Apr 2, 2008

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184284800000",
    "number": "1194784801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27691 EUCLID AVE",
            "address_2": "B1",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441323550",
            "telephone_number": "216-731-8900",
            "fax_number": "216-731-8972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27691 EUCLID AVE",
            "address_2": "B1",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441323550",
            "telephone_number": "216-731-8900",
            "fax_number": "216-731-8972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTICARE HEALTH & EDUCATIONAL SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2007-07-13",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "JOHNNIE",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "216-731-8900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD/RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "524209285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2015563",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Multicare Home Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Euclid, OH

Sources for this page

Verify at the official NPI Registry.