Provider Demographics
NPI:1427933324
Name:DOMINI HEALTHCARE LLC
Entity type:Organization
Organization Name:DOMINI HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SIMONE
Authorized Official - Middle Name:N
Authorized Official - Last Name:WOODS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:216-253-4917
Mailing Address - Street 1:PO BOX 39022
Mailing Address - Street 2:
Mailing Address - City:NORTH RIDGEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44039-0022
Mailing Address - Country:US
Mailing Address - Phone:216-253-4917
Mailing Address - Fax:
Practice Address - Street 1:29300 EUCLID AVE STE 200
Practice Address - Street 2:
Practice Address - City:WICKLIFFE
Practice Address - State:OH
Practice Address - Zip Code:44092-1957
Practice Address - Country:US
Practice Address - Phone:216-264-9598
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-08
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child