MEDICARE: TOTAL HOMECARE SOLUTIONS-COLUMBUS, 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	:	1497045108
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOTAL HOMECARE SOLUTIONS-COLUMBUS, LLC

Provider Business Mailing Address
First Line	:	8170 CORPORATE PARK DR
Second Line	:	SUITE 150
City	:	CINCINNATI
State	:	OH
Zip	:	45242
Country	:	US
Telephone Number	:	513-277-0915
Fax Number	:

Provider Business Practice Location Address
First Line	:	8170 CORPORATE PARK DR
Second Line	:	SUITE 150
City	:	CINCINNATI
State	:	OH
Zip	:	45242-3313
Country	:	US
Telephone Number	:	513-277-0915
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ADAM DANIEL SHOEMAKER
Credential	:
Telephone Number	:	513-277-0915

Provider Enumeration Date	:	04/14/2011
Last Update Date	:	04/14/2011

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