MEDICARE: AMANDA'S HOUSE

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	:	1437860319
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMANDA'S HOUSE

Provider Business Mailing Address
First Line	:	791 EUCLID AVE
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44307-1570
Country	:	US
Telephone Number	:	330-418-6922
Fax Number	:

Provider Business Practice Location Address
First Line	:	791 EUCLID AVE
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44307-1570
Country	:	US
Telephone Number	:	330-418-6922
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	AMANDA STEWART
Credential	:
Telephone Number	:	330-418-6922

Provider Enumeration Date	:	12/12/2022
Last Update Date	:	12/12/2022

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Directions to “AMANDA'S HOUSE ” Practice Location

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