MEDICARE: CHI NATIONAL HOME CARE, 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	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1487517926
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHI NATIONAL HOME CARE, LLC

Provider Business Mailing Address
First Line	:	6281 TRI RIDGE BLVD STE 300
Second Line	:
City	:	LOVELAND
State	:	OH
Zip	:	45140-8345
Country	:	US
Telephone Number	:	513-576-0262
Fax Number	:

Provider Business Practice Location Address
First Line	:	3091 BATTLEFIELD PKWY
Second Line	:
City	:	FORT OGLETHORPE
State	:	GA
Zip	:	30742-4003
Country	:	US
Telephone Number	:	513-576-0262
Fax Number	:

Authorized Official
Title or Position	:	VP FINANCE & CFO
Name	:	JACK DANIEL HAWKINS
Credential	:
Telephone Number	:	513-477-6305

Provider Enumeration Date	:	12/03/2025
Last Update Date	:	12/03/2025

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