Provider Demographics
NPI:1518567247
Name:CARDINAL HOME HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:CARDINAL HOME HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SADIA
Authorized Official - Middle Name:ALI
Authorized Official - Last Name:MOHAMOUD
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:440-566-0158
Mailing Address - Street 1:5241 WILSON MILLS RD STE 21
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44143-2142
Mailing Address - Country:US
Mailing Address - Phone:440-566-0158
Mailing Address - Fax:440-566-0159
Practice Address - Street 1:5241 WILSON MILLS RD STE 21
Practice Address - Street 2:
Practice Address - City:RICHMOND HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44143-2142
Practice Address - Country:US
Practice Address - Phone:440-566-0158
Practice Address - Fax:440-566-0159
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-30
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health