Active NPI
Multicare Health & Educational Services Inc.
- Home Health Agency
- Euclid, OH
National Provider Identifier
1194784801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 524209285
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2015563 | Medicaid | OH |
Other names 1
- Multicare Home Health Services
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Services
- Ownership
- Proprietary
- Certified
- May 7, 1997
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D0926205 | Multicare Health & Educational SVC Inc | Certificate of waiver | Mar 17, 2027 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Lorenza Henderson | 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 | 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 | 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 | W-2 Managing Employee | May 15, 2015 | |
| Operational/Managerial Control | May 15, 2015 | ||
| Johnny Henderson | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.