MEDICARE: HOMELAND HEALTH SERVICES 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1497814883
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOMELAND HEALTH SERVICES LLC

Provider Business Mailing Address
First Line	:	1395 E DUBLIN GRANVILLE RD STE 200
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43229-3310
Country	:	US
Telephone Number	:	614-985-0520
Fax Number	:	614-985-0585

Provider Business Practice Location Address
First Line	:	1395 E DUBLIN GRANVILLE RD STE 200
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43229-3310
Country	:	US
Telephone Number	:	614-985-0520
Fax Number	:	614-985-0585

Authorized Official
Title or Position	:	OWNER
Name	:	TABI PIUS ESSA
Credential	:
Telephone Number	:	614-985-0520

Provider Enumeration Date	:	12/08/2006
Last Update Date	:	08/01/2018

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Directions to “HOMELAND HEALTH SERVICES LLC ” Practice Location

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