MEDICARE: ELEGANCE HOME HEALTH, INC.

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	2270051	OH

General Provider Information

NPI Number	:	1295150704
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELEGANCE HOME HEALTH, INC.

Provider Business Mailing Address
First Line	:	839 E MARKET ST
Second Line	:	SUITE 122
City	:	AKRON
State	:	OH
Zip	:	44305-2460
Country	:	US
Telephone Number	:	330-258-1107
Fax Number	:

Provider Business Practice Location Address
First Line	:	839 E MARKET ST
Second Line	:	SUITE 122
City	:	AKRON
State	:	OH
Zip	:	44305-2460
Country	:	US
Telephone Number	:	330-258-1107
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	ISAAC KNIGHT
Credential	:
Telephone Number	:	330-258-1107

Provider Enumeration Date	:	02/20/2014
Last Update Date	:	02/21/2014

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