MEDICARE: HC274 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1265117949
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HC274 LLC

Provider Business Mailing Address
First Line	:	9277 CENTRE POINTE DR STE 110
Second Line	:
City	:	WEST CHESTER
State	:	OH
Zip	:	45069-0009
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9277 CENTRE POINTE DR STE 110
Second Line	:
City	:	WEST CHESTER
State	:	OH
Zip	:	45069-0009
Country	:	US
Telephone Number	:	513-701-3141
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JOEL BOHN
Credential	:
Telephone Number	:	513-256-5590

Provider Enumeration Date	:	06/20/2023
Last Update Date	:	06/20/2023

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Directions to “HC274 LLC ” Practice Location

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