Organization Active NPI

Eternal Supportive Housing Op

  • Home Health Agency
  • Independence, OH
National Provider Identifier
1699612838
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ETERNAL SUPPORTIVE HOUSING OP
Practice address
6100 Oak Tree Blvd Ste 200
Independence, OH 44131-6914
Phone
(860) 710-4507
NPI assigned
May 4, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Authorized official

Name
Shmuel Kahn
Title
Owner
Phone
(860) 710-4507

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6100 Oak Tree Blvd Ste 200
Independence, OH 44131-6914

Mailing address

6100 Oak Tree Blvd Ste 200
Independence, OH 44131-6914
Phone (860) 710-4507

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1777852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777852800000",
    "number": "1699612838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 OAK TREE BLVD STE 200",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441316914",
            "telephone_number": "860-710-4507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 OAK TREE BLVD STE 200",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441316914",
            "telephone_number": "860-710-4507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETERNAL SUPPORTIVE HOUSING OP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-04",
        "last_updated": "2026-05-04",
        "certification_date": "2026-04-28",
        "status": "A",
        "authorized_official_last_name": "KAHN",
        "authorized_official_first_name": "SHMUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-710-4507"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.