Organization Active NPI

Healing Home Healthcare, LLC

  • Home Health Agency
  • Cleveland, OH
National Provider Identifier
1417402405
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HEALING HOME HEALTHCARE, LLC
Practice address
17325 Euclid Ave Ste 2033
Cleveland, OH 44112-1247
Phone
(216) 930-4699
Fax
(216) 230-5219
NPI assigned
Aug 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Authorized official

Name
Ediris Adan
Title
Ceo
Phone
(216) 600-6111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

17325 Euclid Ave Ste 2033
Cleveland, OH 44112-1247

Mailing address

17325 Euclid Ave Ste 2033
Cleveland, OH 44112-1247
Phone (216) 930-4699

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170809000227 OH Part A Provider - Home Health Agency 4284916263 Practice locations: Cleveland, OH

Home health agency certification: CCN 369196

Legal name
HEALING HOME HEALTHCARE, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 5, 2018
Last certification
Aug 5, 2018
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Aug 14, 2016 in OH
Enrollment address
17325 Euclid Ave
Ste 2033
Cleveland, OH 44112-1247

Care Compare: Home health agency

Medicare Care Compare
Listed as
Healing Home Healthcare LLCCCN 369196 · All quality measures
Ownership
Proprietary
Certified
Aug 5, 2018
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational 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
36D2221835Healing Home Healthcare17325 Euclid Ave Suite 2033, Cleveland, OH 44112Certificate of waiverApr 25, 2027

National Provider Directory

National Provider Directory

Locations

3314 Morse Rd
Ste 209
Columbus, OH 43231
Phone (614) 218-3650

17325 Euclid Ave
Ste 2033
East Cleveland, OH 44112
Phone (216) 575-8953

5788 Ridge Rd
Ste 2
Parma, OH 44129
Phone (216) 600-6111

Ownership & related parties

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.

NameRoleSinceShare
Ediris Adan Individual 5% Or Greater Direct Ownership InterestCeo Aug 14, 2016 100%
Corporate DirectorCeo Aug 14, 2016 100%
W-2 Managing EmployeeCeo Aug 14, 2016 100%

NPI Registry JSON

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746576000000",
    "number": "1417402405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17325 EUCLID AVE STE 2033",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441121247",
            "telephone_number": "216-930-4699",
            "fax_number": "216-230-5219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17325 EUCLID AVE STE 2033",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441121247",
            "telephone_number": "216-930-4699",
            "fax_number": "216-230-5219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HOME HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-18",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A",
        "authorized_official_last_name": "ADAN",
        "authorized_official_first_name": "EDIRIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "216-600-6111"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.