MEDICARE: CENTRAL HEALTHCARE SERVICES LLC

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	:	1215706387
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTRAL HEALTHCARE SERVICES LLC

Provider Business Mailing Address
First Line	:	2105 S HAMILTON RD STE 201C
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43232-4145
Country	:	US
Telephone Number	:	614-432-0029
Fax Number	:

Provider Business Practice Location Address
First Line	:	2105 S HAMILTON RD STE 201C
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43232-4145
Country	:	US
Telephone Number	:	614-432-0029
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. RAHMO MOHAMED HAJI-IBRAHIM
Credential	:
Telephone Number	:	614-432-0029

Provider Enumeration Date	:	12/29/2023
Last Update Date	:	12/29/2023

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