Provider Demographics
NPI:1134905284
Name:AHC HOME HEALTH OF CLEVELAND LLC
Entity type:Organization
Organization Name:AHC HOME HEALTH OF CLEVELAND LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FOREST
Authorized Official - Middle Name:
Authorized Official - Last Name:ARNETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-447-9860
Mailing Address - Street 1:2108 LANDER RD STE B
Mailing Address - Street 2:
Mailing Address - City:MAYFIELD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44124-4152
Mailing Address - Country:US
Mailing Address - Phone:440-276-7000
Mailing Address - Fax:
Practice Address - Street 1:2108 LANDER RD STE B
Practice Address - Street 2:
Practice Address - City:MAYFIELD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44124-4137
Practice Address - Country:US
Practice Address - Phone:440-276-7000
Practice Address - Fax:440-276-7050
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LHM MAN HHH LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-09-05
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based