MEDICARE: ELMI FAMILY HEALTH CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1114351988
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELMI FAMILY HEALTH CARE

Provider Business Mailing Address
First Line	:	3556 SULLIVANT AVE STE 203
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43204-1153
Country	:	US
Telephone Number	:	614-206-8921
Fax Number	:

Provider Business Practice Location Address
First Line	:	3556 SULLIVANT AVE STE 203
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43204-1153
Country	:	US
Telephone Number	:	614-206-8921
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. GULED ELMI
Credential	:
Telephone Number	:	614-206-8921

Provider Enumeration Date	:	08/28/2013
Last Update Date	:	08/28/2013

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