Provider Demographics
NPI:1265309173
Name:UCEE-ADONAI HOME HEALTH AGENCY LLC
Entity type:Organization
Organization Name:UCEE-ADONAI HOME HEALTH AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:O
Authorized Official - Last Name:EZIRIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-732-0283
Mailing Address - Street 1:3100 E 45TH ST STE 448
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44127-1088
Mailing Address - Country:US
Mailing Address - Phone:216-732-0283
Mailing Address - Fax:
Practice Address - Street 1:3100 E 45TH ST STE 448
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44127-1088
Practice Address - Country:US
Practice Address - Phone:216-732-0283
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-23
Last Update Date:2025-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)