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MOUNTAINEER HOME HEALTHCARE AGENCY, LLC
NPI 1063818599
Home Health in Cleveland, OH

Active since November 11, 2014
4614 PROSPECT AVE, 421, CLEVELAND, OH 44103(216) 881-5588(216) 881-5995 Get Directions Write a Review

NPPES record last updated: November 11, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mountaineer Home Healthcare Agency, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOUNTAINEER HOME HEALTHCARE AGENCY, LLC (NPI 1063818599) is a healthcare organization registered as a home health in Cleveland, Ohio and active in the NPI registry since November 2014. The organization lists Ethel Augustus, Ceo, as its authorized official.

NPPES Registry Identity

NPI1063818599
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameMOUNTAINEER HOME HEALTHCARE AGENCY, LLC
Location Address4614 PROSPECT AVE, 421Cleveland, OH 44103-4394
Mailing Address4614 Prospect Ave, 421Cleveland, OH 44103-4394 · (216) 881-5588 · Fax (216) 881-5995
Phone(216) 881-5588
Fax(216) 881-5995
Organization SubpartNo
Authorized OfficialEthel AugustusCeo · (216) 799-6689
Enumeration DateNovember 11, 2014
✔ NPI 1063818599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
4614 PROSPECT AVE, Cleveland, OH 44103
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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEJUAN DEMETRIUS BRIDGES
Case Manager/Care Coordinator
4614 PROSPECT AVE
CLEVELAND, OH 44103
Cuyahoga County (216) 507-7390
ADOPTION NETWORK CLEVELAND
Community/Behavioral Health
4614 PROSPECT AVE, SUITE 550
CLEVELAND, OH 44103
Cuyahoga County (216) 325-1000
CARL POINTER
Case Manager/Care Coordinator
4614 PROSPECT AVE
CLEVELAND, OH 44103
Cuyahoga County (216) 273-7233
ANNE T THACKER LD
Dietitian, Registered
4614 PROSPECT AVE, STE 325
CLEVELAND, OH 44103
Cuyahoga County (216) 777-2136
ALISA D WHITE
Case Manager/Care Coordinator
4614 PROSPECT AVE
CLEVELAND, OH 44103
Cuyahoga County (216) 308-2231
SYLVIA ANN REEVES
Case Manager/Care Coordinator
4614 PROSPECT AVE
CLEVELAND, OH 44103
Cuyahoga County (216) 273-7233
AMIR SALEEM SR.
Case Manager/Care Coordinator
4614 PROSPECT AVE
CLEVELAND, OH 44103
Cuyahoga County (216) 502-8595
WEINGART DESIGN, INC
Durable Medical Equipment & Medical Supplies
4614 PROSPECT AVE, SUITE 328
CLEVELAND, OH 44103
Cuyahoga County (216) 881-5151

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mountaineer Home Healthcare Agency, LLC's NPI number?

The NPI number for Mountaineer Home Healthcare Agency, LLC is 1063818599. It was assigned to this organization in the NPPES registry on November 11, 2014.

Where is Mountaineer Home Healthcare Agency, LLC located?

Mountaineer Home Healthcare Agency, LLC is located at 4614 Prospect Ave 421, Cleveland, OH 44103. The listed phone number is (216) 881-5588.

What is Mountaineer Home Healthcare Agency, LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Mountaineer Home Healthcare Agency, LLC was last updated on November 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.