Northeast Home Health Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

2204648 Issued in OH

Legal business name

NORTHEAST HOME HEALTH SERVICES

Practice address

20600 Chagrin Blvd Ste 301
Shaker Heights, OH 44122-5334

Phone

(614) 839-2000

Fax

(614) 305-5114

NPI assigned

Jun 8, 2013

Organization subpart

No

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

Authorized official

Name

Barkhad Abdullahi

Title

Ceo

Phone

(614) 598-4605

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Home health agency certification: CCN 369077

Legal name

NORTHEAST HOME HEALTH SERVICES

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 24, 2014

Last certification

Apr 24, 2014

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Jun 4, 2013 in OH

Enrollment address

20600 Chagrin Blvd
Ste 301
Shaker Heights, OH 44122

Listed as

Northeast Home Health ServicesCCN 369077

Ownership

Proprietary

Certified

Apr 24, 2014

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy, Occupational therapy

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 1

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

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

{
    "created_epoch": "1370649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1407294713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20600 CHAGRIN BLVD STE 301",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441225327",
            "telephone_number": "614-839-2000",
            "fax_number": "614-305-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20600 CHAGRIN BLVD STE 301",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441225334",
            "telephone_number": "614-839-2000",
            "fax_number": "614-305-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST HOME HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-08",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "ABDULLAHI",
        "authorized_official_first_name": "BARKHAD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-598-4605"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "2204648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea N Nimmo, MA, CCC-SLP
• John Patrick Nisky, PCC, NCC
• Vanessa A. Noble, QMHS
• John Non
• Jada Norman, LSW
• Reanna Norton, QMHS
• Kaila Rae November, M.ED., BCBA, COBA
• Novus Homecare LLC
• Ada Nworie, RN, PHMNP
• Daniel O'Brien, LSW

• Home Health Agency in Shaker Heights, OH
• Providers in Shaker Heights, 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 Dec 9, 2024; 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.

Verify at the official NPI Registry.