Active NPI
Greater Cleveland Home Health Care Inc
- Home Health Agency
- Beachwood, OH
National Provider Identifier
1962715375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- GREATER CLEVELAND HOME HEALTH CARE INC
- Practice address
- 23811 Chagrin Blvd
Suite 280
Beachwood, OH 44122-5555 - Phone
- (440) 232-4995
- Fax
- (440) 232-4956
- NPI assigned
- Jul 15, 2010
- 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
- Mr. Mohamed I Ahmed
- Title
- President
- Phone
- (614) 254-2005
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
23811 Chagrin Blvd
Suite 280
Beachwood, OH 44122-5555
Mailing address
23811 Chagrin Blvd
Suite 280
Beachwood, OH 44122-5525
Phone (440) 232-4995
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101020000638 | OH | Part A Provider - Home Health Agency | 4587857768 | Practice locations: Beachwood, OH |
Home health agency certification: CCN 368378
- Legal name
- GREATER CLEVELAND HOME HEALTH CARE INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Sep 13, 2011
- Last certification
- Mar 9, 2021
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Jul 14, 2010 in OH
- Enrollment address
- 23811 Chagrin Blvd
Ste 280
Beachwood, OH 44122-5555
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Greater Cleveland Home Health Care, Inc
- Ownership
- Proprietary
- Certified
- Sep 13, 2011
- Medicare certification status
- Active
- Services
- Nursing, Home health aide
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 |
|---|---|---|---|
| 36D2017926 | Greater Cleveland Home Health Care Inc | Certificate of waiver | Dec 20, 2026 |
National Provider Directory
National Provider DirectoryLocations
23811 Chagrin Blvd
Ste 280
Beachwood, OH 44122
Phone (216) 292-9610
5755 Granger Rd
Ste 425
Independence, OH 44131
Phone (440) 232-4995
Ownership & related parties
All disclosed owners & managing parties 3
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 |
|---|---|---|---|
| Kathleen Byrne | W-2 Managing Employee | Sep 10, 2015 | |
| April M Yaros | W-2 Managing Employee | Oct 1, 2015 | |
| Omar Igeh | 5% Or Greater Direct Ownership Interest | May 12, 2024 | 100% |
| Corporate Director | Jul 14, 2010 | 100% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279152000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1615507200000",
"number": "1962715375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23811 CHAGRIN BLVD",
"address_2": "SUITE 280",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225525",
"telephone_number": "440-232-4995",
"fax_number": "440-232-4956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23811 CHAGRIN BLVD",
"address_2": "SUITE 280",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225555",
"telephone_number": "440-232-4995",
"fax_number": "440-232-4956"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREATER CLEVELAND HOME HEALTH CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-15",
"last_updated": "2021-03-12",
"certification_date": "2021-03-12",
"status": "A",
"authorized_official_last_name": "AHMED",
"authorized_official_first_name": "MOHAMED",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "614-254-2005",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beachwood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; 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.